Individual
MARY LOUISE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1510 FOREST AVE, MONTGOMERY, AL 36106-1517
(334) 834-6422
Mailing address
1510 FOREST AVE, MONTGOMERY, AL 36106-1517
(334) 834-6422
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-140004
AL
Other
Enumeration date
02/05/2021
Last updated
06/23/2025
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