Individual
RICHARD GREGORY LEE
Active
Individual
RICHARD GREGORY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD LP
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP3005
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013096
PREFERRED ONE
—
01
—
115675
UCARE
—
01
—
6137855
UBH
—
01
—
8F865LE
BLUE CROSS
—
Enumeration date
12/04/2006
Last updated
07/08/2007
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