Individual
CANDIDA G LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, ATC
Contact information
Practice address
740 S LIMESTONE, 401, LEXINGTON, KY 40536-0001
(859) 323-5533
Mailing address
3845 BELLEAU WOOD DR, 6, LEXINGTON, KY 40517-1826
(859) 323-5533
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT659
KY
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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