Individual
MR. THOMAS CAMERON LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1049 ANN ST, DELAVAN, WI 53115-1937
(262) 812-9101
Mailing address
1049 ANN ST, DELAVAN, WI 53115-1937
(262) 812-9101
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
118715 - 030
WI
Other
Enumeration date
01/26/2009
Last updated
01/26/2009
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