Individual
RALPH LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PRS004780
Contact information
Practice address
3445 S MAIN ST, COVENTRY TOWNSHIP, OH 44319-3028
(330) 849-1120
Mailing address
3445 S MAIN ST, COVENTRY TOWNSHIP, OH 44319-3028
(330) 849-1120
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
PRS004780
OH
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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