Individual
MS. MARIA STELLA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
650 JOEL DR, BLANCHFIELD ARMY COMMUNITY HOSPITAL, FORT CAMPBELL, KY 42223-5318
(314) 744-4280
Mailing address
12647 OLIVE BLVD, SUITE 600, SAINT LOUIS, MO 63141-6345
(314) 744-4280
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1541
TN
Other
Enumeration date
12/13/2007
Last updated
12/13/2007
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