| NPI | 1124215553 |
|---|---|
| Former Legal Business Name | LEE K. HERMANN, MCPC |
| Entity Type | Organization |
| Authorized Contact | PAMELA P ROOT Proprietor 307-587-5802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WY 5112A) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2007-12-18 |