Individual
CHASE EDWARD LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 W 17TH ST, TULSA, OK 74107-1886
(479) 774-2777
Mailing address
1415 W 78TH ST APT 1114, TULSA, OK 74132-4630
(479) 774-2777
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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