Individual
MS. ANNE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
765 W TERRA LN, O FALLON, MO 63366-2432
(636) 262-3036
(636) 379-9023
Mailing address
765 W TERRA LN, O FALLON, MO 63366-2432
(636) 262-3036
(636) 379-9023
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
2001008789
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679720874
BLUE CROSS BLUE SHIELD
MO
Enumeration date
08/19/2008
Last updated
11/13/2008
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