Individual
CLINT LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
354 PLEASANT GROVE RD, CHOUDRANT, LA 71227-3220
(318) 245-2864
Mailing address
354 PLEASANT GROVE RD, CHOUDRANT, LA 71227-3220
(318) 245-2864
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
02/25/2022
Last updated
02/28/2022
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