Individual
SUZETTE SUK FONG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-8100
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2842
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100022582
—
WI
Enumeration date
02/11/2008
Last updated
04/09/2024
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