Individual
FAN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 MANNING DRIVE, CHAPEL HILL, NC 27514
(360) 464-8318
Mailing address
4108 HENDERSON BLVD SE, OLYMPIA, WA 98501-4247
(360) 464-8318
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD481801
PA
390200000X
Student in an Organized Health Care Education/Training Program
218044
NC
Other
Enumeration date
05/17/2016
Last updated
10/23/2023
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