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Individual

KYLA R LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42378
WI
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
42378
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34028400
WI
Enumeration date
06/23/2005
Last updated
06/02/2015
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