Individual
ANNIE S LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1650 S 41ST ST, MANITOWOC, WI 54220-7316
(920) 320-2436
Mailing address
1650 S 41ST ST, MANITOWOC, WI 54220-7316
(920) 320-2436
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
15199
WI
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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