Individual
ROBERT W LEE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP, RN
Contact information
Practice address
6051 U S HIGHWAY 49, HATTIESBURG, MS 39401-7200
(800) 494-8260
Mailing address
5000 W 4TH ST, HATTIESBURG, MS 39402-1000
(800) 494-8260
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R869297
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09252360
—
MS
Enumeration date
12/12/2011
Last updated
05/21/2019
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