Individual
SUSAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1050 REID PKWY, SUITE 210, RICHMOND, IN 47374-1155
(765) 966-5217
(765) 966-5277
Mailing address
1050 REID PKWY, SUITE 210, RICHMOND, IN 47374-1155
(765) 966-5217
(765) 966-5277
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301086640
MI
Other
Enumeration date
05/09/2007
Last updated
11/29/2021
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