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NPI Profile for TINA L LEE in BASEHOR, KS.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant |
| NPI Number | 1316217102 |
|
| Status | Active | |
| Credentials | LPN,CSA | |
| Entity | Individual | |
| Enumeration date | 01/10/2012 | |
| Last updated | 01/10/2012 - About 14 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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TINA L LEE
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TINA L LEE, LPN,CSA