Individual
MRS. DIANE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
3800 ADAM GRUBB, STE:400, LAKE WORTH, TX 76135-3511
(817) 238-4441
(817) 238-4454
Mailing address
3800 ADAM GRUBB, STE:400, LAKE WORTH, TX 76135-3511
(817) 238-4441
(817) 238-4454
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
111042
TX
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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