Individual
MR. MATTHEW JEREMY LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.R.N.P
Contact information
Practice address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 342-6200
(918) 342-6598
Mailing address
4504 S MAPLE AVE, BROKEN ARROW, OK 74011-3027
(918) 557-4443
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0075713
OK
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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