Individual
HEATHER BALL LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
710 CHIPPEWA SQ STE 103, MARQUETTE, MI 49855-4819
(906) 226-2569
Mailing address
2418 KINGSTON RD, CLEVELAND HEIGHTS, OH 44118-4306
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704368425
MI
163W00000X
Registered Nurse
RN.430622
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
4704368425
MI
Other
Enumeration date
11/25/2020
Last updated
08/18/2021
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