Individual
ELGENA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
50 N PERRY ST, PONTIAC, MI 48342-2217
(248) 338-5332
Mailing address
69401 ELDRED RD, BRUCE TWP, MI 48065-4221
(586) 994-0491
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F05230035
MI
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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