Individual
IRA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
777 W DUVAL ST, LAKE CITY, FL 32055-5806
(386) 755-3300
(386) 755-8595
Mailing address
777 W DUVAL ST, LAKE CITY, FL 32055-5806
(386) 755-3300
(386) 755-8595
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP3091702
FL
Other
Enumeration date
01/18/2006
Last updated
05/01/2015
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