Individual
LEE MABRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APNP
Contact information
Practice address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2982
(608) 756-6868
(608) 756-6289
Mailing address
6720 BERTNER AVE, HOUSTON, TX 77030-2604
(713) 620-4000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
100982875
WI
367500000X
Certified Registered Nurse Anesthetist
836923
TX
Other
Enumeration date
05/28/2019
Last updated
09/15/2023
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