Individual
LEE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
340 BLACK OAK CT, MONROE, MI 48162-3387
(734) 799-6521
Mailing address
340 BLACK OAK CT, MONROE, MI 48162-3387
(734) 799-6521
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703106739
MI
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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