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Individual

MRS. LEE ANN MATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
4401 W WESTERN AVE STE C, SOUTH BEND, IN 46619-2645
(574) 725-7006
(574) 807-9614
Mailing address
PO BOX 746720, ATLANTA, GA 30374-6720
(312) 733-9730
(773) 866-8014

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71011065A
IN

Other

Enumeration date
09/28/2018
Last updated
05/02/2025
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