Individual
KHAMPHAI LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP-FNP
Contact information
Practice address
1676 MAIN ST, GREEN BAY, WI 54302-2636
(920) 327-1565
Mailing address
1676 MAIN ST, GREEN BAY, WI 54302-2636
(920) 327-1565
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
17854-33
WI
Other
Enumeration date
03/17/2026
Last updated
03/17/2026
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