Individual
COURTNEY MARIE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1650 COWLES ST, FAIRBANKS, AK 99701-5907
(907) 458-6450
(907) 458-6430
Mailing address
1650 COWLES ST, FAIRBANKS, AK 99701-5907
(907) 458-6450
(907) 458-6430
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
178921
AK
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1755878
—
AK
Enumeration date
10/11/2006
Last updated
06/12/2025
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