Individual
MR. TAO LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1205 NORTH AVE, CLEVELAND, WI 53015-1413
(920) 693-5600
(920) 693-5604
Mailing address
2401 N 26TH ST, SHEBOYGAN, WI 53083-4479
(920) 254-1684
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
3872-33
WI
Other
Enumeration date
10/08/2009
Last updated
02/03/2015
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