Individual
MARY B LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2286 CROSSWIND DR STE C, PRESCOTT, AZ 86301-6100
(928) 216-3160
Mailing address
12361 W BOLA DR STE 109, SURPRISE, AZ 85378-9021
(623) 227-1000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
279586
AZ
Other
Enumeration date
11/28/2022
Last updated
11/29/2022
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