Individual
MI S LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 SPRING HOLLOW RD, OLD TAPPAN, NJ 07675-7471
(201) 750-8682
Mailing address
19 SPRING HOLLOW RD, OLD TAPPAN, NJ 07675-7471
(201) 750-8682
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00329200
NJ
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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