Individual
ALICE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(800) 653-6568
Mailing address
6466 EMERALD DUNES DRIVE, 207, WEST PALM BEACH, FL 33411
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
NONE
NJ
2086S0129X
Vascular Surgery Physician
Primary
5101024392
MI
Other
Enumeration date
07/11/2012
Last updated
02/26/2021
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