Individual
ASIA ELLYSSE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7034 LAWNVIEW AVE, CLEVELAND, OH 44103-2728
(216) 926-0472
Mailing address
7034 LAWNVIEW AVE, CLEVELAND, OH 44103-2728
(216) 926-0472
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
151571
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2990643
—
OH
Enumeration date
01/03/2013
Last updated
01/03/2013
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