Individual
JOAN DENISE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 852-5851
(502) 852-3762
Mailing address
20 MEDICAL VILLAGE DR, SUITE 208, EDGEWOOD, KY 41017-5401
(859) 344-2211
(859) 344-2511
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
042255
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
3007567
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300082900
—
IN
01
—
3057247
BCBS NUMBER
TN
05
—
3620054
—
TN
05
—
74780990
—
KY
Enumeration date
07/18/2005
Last updated
11/06/2023
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