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NPI Profile for RUSSEL A LEE in SAINT GEORGE, UT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatrics |
363LP0200X | 50 | Nurse Practitioner |
| NPI Number | 1457607905 |
|
| Status | Active | |
| Credentials | A.P.R.N. | |
| Entity | Individual | |
| Enumeration date | 08/01/2012 | |
| Last updated | 08/01/2012 - About 14 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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RUSSEL A LEE
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RUSSEL A LEE, A.P.R.N.