Individual
MRS. LEE A FRERKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
131 S DEARBORN ST SUITE 1025, CHICAGO, IL 60603-4618
(917) 261-4414
Mailing address
199 SCOTT ST FL 8, BUFFALO, NY 14204-2208
(917) 261-4414
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
029213
NY
363A00000X
Physician Assistant
Primary
085003861
IL
363A00000X
Physician Assistant
62144
CA
363A00000X
Physician Assistant
PA16670
TX
Other
Enumeration date
09/23/2010
Last updated
11/21/2024
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