Organization
LEE MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHA LEE (M.D./CEO)
(414) 616-8901
Entity
Organization
Contact information
Practice address
7114 W CAPITOL DR, MILWAUKEE, WI 53216-2052
(414) 616-8901
Mailing address
7114 W CAPITOL DR, MILWAUKEE, WI 53216-2052
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
6153880001
WI
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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