Individual
VANESSA L LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCCA
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A01048
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000342916
ANTHEM
OH
05
—
2513828
—
OH
Enumeration date
10/18/2006
Last updated
04/09/2008
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