Tao Lee NP

NPI 1295060275 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1295060275
Gender Male
Enumeration Date 10/08/2009
Last Updated 02/03/2015
Entity Type Individual
Active Over 7 years ago
Practice Location
1205 NORTH AVE
CLEVELAND WI, 53015-1413, US
Phone (920) 693-5600
Fax (920) 693-5604
Business Location
2401 N 26TH ST
SHEBOYGAN WI, 53083-4479, US
Phone (920) 254-1684
Fax
Toxanomy
Taxonomy Code 363LA2200X
License State Wisconsin
License Number 3872-33
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According to our database, Mr. Tao Lee NP NPI is 1295060275, taxonomy code is 363LA2200X and license number is 3872-33, license state is located at Wisconsin. Tao Lee NP physically located at 1205 North Ave, Cleveland WI, 53015-1413. NPI Number Tao Lee NP has the Individual type.

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1295060275 NPI number is provided on an as is basis without warranty of any kind. 1295060275 is maintained by the National Plan & Provider Enumeration System. The contents of Tao Lee NP are for informational purposes only.