Individual
CHARLOTTE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
254 COLUMBUS ST, BEDFORD, OH 44146-2840
(216) 374-1340
Mailing address
254 COLUMBUS ST, BEDFORD, OH 44146-2840
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
117043
OH
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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