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Individual

MANDY LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, NNP-BC

Contact information

Practice address
4015 22ND PL, LUBBOCK, TX 79410-1119
(806) 725-6474
Mailing address
9104 REMINGTON AVE, LUBBOCK, TX 79424-7026
(806) 438-8202

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
717475
TX
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
AP135255
TX

Other

Enumeration date
09/15/2017
Last updated
03/04/2019
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