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Individual

MS. SUSAN RHEA LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
311 NEWBURY STREET, DANVERS, MA 01923-1723
(978) 605-0100
Mailing address
311 NEWBURY STREET, DANVERS, MA 01923-1723
(978) 605-0100

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
076422-23
NH
363LF0000X
Family Nurse Practitioner
Primary
RN228941
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0707449
MA
Enumeration date
04/17/2007
Last updated
09/25/2017
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