Individual
MRS. LORETTA TAYLOR LEE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2120 DATA OFFICE DR, BIRMINGHAM, AL 35244-1232
(205) 988-9577
Mailing address
6304 BLUEGILL CV, TRUSSVILLE, AL 35173-5212
(205) 655-0249
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1053893
AL
Other
Enumeration date
05/31/2006
Last updated
07/08/2007
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