Individual
SUSAN L LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7840 W 165TH ST STE 160, OVERLAND PARK, KS 66223-3021
(913) 373-2141
(913) 373-2146
Mailing address
7840 W 165TH ST STE 160, OVERLAND PARK, KS 66223-3021
(913) 373-2141
(913) 373-2146
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0429116
KS
207Q00000X
Family Medicine Physician
R6N44
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100413250A
—
KS
Enumeration date
07/10/2006
Last updated
10/19/2022
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