Individual
KATIE M LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
602 N 5TH ST, MIDDLETOWN, IN 47356-1008
(765) 518-5000
Mailing address
602 N 5TH ST, MIDDLETOWN, IN 47356-1008
(765) 518-5000
(765) 518-5025
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28178755A
IN
363L00000X
Nurse Practitioner
Primary
71010221A
IN
Other
Enumeration date
07/29/2020
Last updated
10/28/2024
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