Individual
LARRESHA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
3032 CRIMSON CLOVER DR, LANCASTER, TX 75134-1637
(469) 570-1555
Mailing address
3032 CRIMSON CLOVER DR, LANCASTER, TX 75134-1637
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
335373
TX
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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