Individual
WAKON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, CSCS
Contact information
Practice address
1600 S 48TH ST, LINCOLN, NE 68506-1299
(402) 481-1111
Mailing address
171 S 90TH ST APT 158, LINCOLN, NE 68520-8311
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4351
NE
Other
Enumeration date
06/24/2022
Last updated
08/15/2022
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