Individual
DR. MATTHEW RAY LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
2028 MAHANEY AVE, TAHLEQUAH, OK 74464-5783
(918) 431-0315
(918) 431-0316
Mailing address
18043 W. 830 RD., PARK HILL, OK 74451
(918) 431-0315
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13829
OK
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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