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Individual

SANDRA L LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN, CNP

Contact information

Practice address
444 ROXBURY RD, ROCKFORD, IL 61107-5059
(815) 398-3000
(815) 391-5076
Mailing address
444 ROXBURY RD, ROCKFORD, IL 61107-5059
(815) 398-3000
(815) 391-5076

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209012818
IL
363LP2300X
Primary Care Nurse Practitioner
Primary
209012818
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1710365176
WI
Enumeration date
05/18/2015
Last updated
01/22/2025
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