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Individual

DR. TERESA LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125066924
IL
2084N0400X
Neurology Physician
Primary
22909
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100213238
WI
Enumeration date
06/12/2015
Last updated
09/12/2025
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