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Individual

MICHELLE LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
45103
CO
207L00000X
Anesthesiology Physician
Primary
51319
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00600300
CO
Enumeration date
01/26/2007
Last updated
01/11/2019
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