Individual
KRISTINA LYNN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4722 SW 88TH DR, GAINESVILLE, FL 32608-4145
(301) 458-9337
Mailing address
4722 SW 88TH DR, GAINESVILLE, FL 32608-4145
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
2887611
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
904762144
UNITED HEALTH CARE
FL
Enumeration date
12/02/2020
Last updated
12/02/2020
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