Individual
DR. LEE JOHANNA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1450 NORTHWEST LN SE, SUITE C, LACEY, WA 98503-6908
(360) 491-4343
Mailing address
1450 NORTHWEST LN SE, SUITE C, LACEY, WA 98503-6908
(360) 491-4343
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60234008
WA
Other
Enumeration date
07/28/2011
Last updated
03/01/2012
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