Individual
LYDIA KATHERINE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10135 RED CEDAR CT, CLARKSTON, MI 48348-1649
(248) 703-9557
Mailing address
10135 RED CEDAR CT, CLARKSTON, MI 48348-1649
(248) 703-9557
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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