Individual
KORINNE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
14780 W MOUNTAIN VIEW BLVD STE 120, SURPRISE, AZ 85374-7280
(623) 215-9460
(623) 282-3576
Mailing address
14200 W CELEBRATE LIFE WAY, GOODYEAR, AZ 85338-3007
(623) 466-4073
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
240576
AZ
363LF0000X
Family Nurse Practitioner
Primary
240576
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790306744
NPI
AZ
Enumeration date
04/30/2020
Last updated
03/07/2024
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