Individual
ELIZABETH LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15740 S OUTER 40 RD, CHESTERFIELD, MO 63017
(636) 237-4700
Mailing address
30 COUNTRY FAIR LN, SAINT LOUIS, MO 63141-7805
(925) 317-2078
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2018039122
MO
363A00000X
Physician Assistant
Primary
0010-04906
NC
Other
Enumeration date
02/10/2014
Last updated
11/07/2018
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