Individual
STEPHANIE K LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7440 S 91ST ST, LINCOLN, NE 68526-9797
(402) 489-6555
Mailing address
2000 Q ST STE 500, LINCOLN, NE 68503-3610
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1970
NE
363AM0700X
Medical Physician Assistant
076997
IA
Other
Enumeration date
03/20/2015
Last updated
08/21/2017
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