Individual
THAI LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7373 W FOND DU LAC AVE, MILWAUKEE, WI 53218-3861
(414) 431-7101
(414) 431-7102
Mailing address
7373 W FOND DU LAC AVE, MILWAUKEE, WI 53218-3861
(414) 431-7101
(414) 431-7102
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3882
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3894-2400
—
WI
Enumeration date
12/04/2006
Last updated
11/15/2024
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