Individual
SUSAN JIN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-2000
Mailing address
28 SCHENCK PKWY, ASHEVILLE, NC 28803-5053
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
272562
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
139784
NC
Other
Enumeration date
07/07/2021
Last updated
09/24/2024
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