Individual
MRS. DANIELLE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
400 TAYLOR RD, MONTGOMERY, AL 36117-3511
(334) 277-8330
Mailing address
2124 HOME PARK TRL APT 212, PRATTVILLE, AL 36066-7879
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-162149
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
1-162149
AL
Other
Enumeration date
02/15/2023
Last updated
10/20/2024
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