Individual
MS. STEPHANIE S LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3482 BROADWAY ST, BOULDER, CO 80304-1824
(303) 441-1100
Mailing address
3450 BROADWAY ST, BOULDER, CO 80304-1824
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0081334
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163W00000X
—
CO
Enumeration date
07/27/2017
Last updated
07/27/2017
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