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Individual

LEKEYA LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5609 W THURSTON AVE, MILWAUKEE, WI 53218-2433
(414) 573-1305
Mailing address
5609 W THURSTON AVE, MILWAUKEE, WI 53218-2433

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
172V00000X
Community Health Worker
372500000X
Chore Provider

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1760795322
WI
Enumeration date
07/17/2012
Last updated
07/17/2012
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