Individual
DAVID COOPER LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BC-HIS
Contact information
Practice address
1905 MISSION 66 # B, SUITE 2, VICKSBURG, MS 39180-3751
(601) 218-1199
(601) 501-1384
Mailing address
1905 MISSION 66 # B, SUITE 2, VICKSBURG, MS 39180-3751
(601) 218-1199
(601) 501-1384
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA0613
MS
Other
Enumeration date
12/03/2014
Last updated
06/29/2015
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