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Individual

DR. SUSANNE NUSSEN LEE

Active
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Individual

DR. SUSANNE NUSSEN LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
C1-0008614
DE
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
MD421782
PA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD421782
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11517014
CAQH
Enumeration date
12/16/2005
Last updated
08/17/2022
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