Individual
ELIZABETH LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25965 S HIGHWAY 66 STE B, CLAREMORE, OK 74019-2468
(918) 550-0989
Mailing address
24404 S 4120 RD, CLAREMORE, OK 74019-4377
(918) 550-0989
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2782
OK
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/21/2019
Last updated
12/03/2020
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