Individual
COLLEEN COSTELLO LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
901 MACARTHUR BLVD, MUNSTER, IN 46321-2901
(219) 836-4511
(219) 836-4082
Mailing address
8558 BROADWAY, MERRILLVILLE, IN 46410-7032
(219) 392-7084
(219) 703-6854
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209-014187
IL
363L00000X
Nurse Practitioner
71009869A
IN
363LF0000X
Family Nurse Practitioner
209014187
IL
363LF0000X
Family Nurse Practitioner
Primary
71009869A
IN
Other
Enumeration date
04/07/2016
Last updated
04/10/2025
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