Individual
AMY LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
712 N 16TH AVE, WAUSAU, WI 54401
(715) 216-6789
Mailing address
712 N 16TH AVE, WAUSAU, WI 54401-2883
(715) 216-6789
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1102122-30
WI
Other
Enumeration date
10/03/2016
Last updated
10/17/2025
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