Individual
PHYLLIS ALMA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
902 BOYER STREET, L'ANSE, MI 49946
(906) 524-7172
Mailing address
902 BOYER STREET, L'ANSE, MI 49946
(906) 524-7172
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704101678
MI
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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