Individual
DR. GRACE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6000
Mailing address
PO BOX 20452, COLUMBUS, OH 43220-0452
(614) 457-8180
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
2001018676
MO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2001018676
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205429806
—
MO
Enumeration date
05/16/2006
Last updated
02/05/2024
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