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NPI Profile for LEE T PHAN in HENDERSON, NV.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant |
| NPI Number | 1790458552 |
|
| Status | Active | |
| Credentials | PA (Physician Assistant) | |
| Entity | Individual | |
| Enumeration date | 07/28/2021 | |
| Last updated | 03/24/2026 - About 2 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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LEE T PHAN
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LEE T PHAN, PA