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Individual

NICOLE LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2011 N COLLINS BLVD STE 607, RICHARDSON, TX 75080-2636
(800) 640-3451
Mailing address
PO BOX 1200, PLEASANT GROVE, UT 84062-1200
(800) 640-3451

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
906654
TX
363LP2300X
Primary Care Nurse Practitioner
906654
TX

Other

Enumeration date
02/13/2020
Last updated
06/09/2025
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