Individual
TINA L LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN,CSA
Contact information
Practice address
15263 SWEETBRIAR DR, BASEHOR, KS 66007-3031
(816) 419-5237
Mailing address
15263 SWEETBRIAR DR, BASEHOR, KS 66007-3031
(816) 419-5237
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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