Individual
PAUL LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-G
Contact information
Practice address
211 S 3RD ST, OPERATING ROOM, BELLEVILLE, IL 62220-1915
(618) 534-2120
(618) 222-4706
Mailing address
211 S 3RD ST, OPERATING ROOM, BELLEVILLE, IL 62220-1915
(618) 534-2120
(618) 222-4706
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
041352704
IL
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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