Individual
DR. NANCY MARY LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
200 S 20TH ST, SUITE B, ROGERS, AR 72758-1104
(479) 636-9393
(479) 636-9341
Mailing address
200 S 20TH ST, SUITE B, ROGERS, AR 72758-1104
(479) 636-9393
(479) 636-9341
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
216004943
IL
213E00000X
Podiatrist
Primary
259
AR
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016004943
IL
IL
Enumeration date
10/03/2006
Last updated
12/31/2014
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