Individual
SUZANNE M LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6000 W CREEK RD, SUITE 10, INDEPENDENCE, OH 44131-2139
(800) 223-2273
Mailing address
6000 W CREEK RD, SUITE 10, INDEPENDENCE, OH 44131-2139
(800) 223-2273
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50001567
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407900822
NPI
OH
01
—
50.001567
STATE MEDICAL BOARD
OH
Enumeration date
01/23/2007
Last updated
03/23/2015
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