Individual
CHRISTOPHER LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
915 RIVER RD, MIDDLETOWN, CT 06457-3921
(860) 704-4000
Mailing address
915 RIVER RD, MIDDLETOWN, CT 06457-3921
(860) 704-4000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
11237
CT
363LF0000X
Family Nurse Practitioner
Primary
11237
CT
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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