Individual
ALYSSA RAE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
323 S 18TH AVE, STURGEON BAY, WI 54235-1401
(920) 743-5566
Mailing address
5660 GORDON RD, STURGEON BAY, WI 54235-8839
(920) 216-1844
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1545-039
WI
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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