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Individual

ROBERT LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
71 MEADOW LN, LEBANON, KY 40033-1972
(270) 402-3923
Mailing address
71 MEADOW LN, LEBANON, KY 40033-1972
(270) 402-3923

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3126
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100439650
KY
Enumeration date
05/01/2007
Last updated
06/13/2022
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