Individual
MELISSA ANN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4200 FASHION SQUARE BLVD STE 301, SAGINAW, MI 48603-1375
(989) 729-4206
(989) 729-4207
Mailing address
4200 FASHION SQUARE BLVD STE 301, SAGINAW, MI 48603-1375
(989) 729-4206
(989) 729-4207
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704248579
MI
363LP2300X
Primary Care Nurse Practitioner
4704248579NSA200RJ
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700484524
—
MI
Enumeration date
10/14/2020
Last updated
02/14/2023
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