Individual
MISS CHANESE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3700 S MARYLAND PKWY STE 525D, LAS VEGAS, NV 89119-5615
(917) 293-8540
Mailing address
3700 S MARYLAND PKWY STE 525D, LAS VEGAS, NV 89119-5615
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
95023093
CA
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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