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1487661955
WARREN LEE
CHAMPAIGN, IL
NPI
1487661955
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: IL 085-000781)
Enumeration Date
2006-08-01
Last Update Date
2015-04-20
Business Address
Mr. WARREN LEE PA
1701 W, CURTIS ROAD DERMATOLOGY
CHAMPAIGN, IL 61822
Phone number: 217-365-6204
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Mailing Address
Mr. WARREN LEE PA
611 W. PARK ST. BWPC
URBANA, IL 61801-2500
Phone number: 217-383-6792
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