Individual
RYAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16368 KEYSTONE BLVD, PRAIRIEVILLE, LA 70769-6189
(225) 921-7216
Mailing address
13710 COUNTY ROAD 261B, NATHROP, CO 81236-9741
(225) 921-7216
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6577
LA
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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