LEE SELF

EMMETT, ID
NPI1639121361
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207VG0400X Obstetrics & Gynecology, Gynecology
(Licence: ID  M7844)
Additional Taxonomies207V00000X Obstetrics & Gynecology
(Licence: ID  M7844)
207VX0000X Obstetrics & Gynecology, Obstetrics
(Licence: ID  M7844)
Enumeration Date2006-05-17
Last Update Date2023-11-12
Business Address
LEE SELF MD
2020 S JOHNS AVE STE B
EMMETT, ID 83617-9410
Phone number: 208-425-7507
Mailing Address
LEE SELF MD
23000 SWEET OLA HWY
OLA, ID 83657-5027
Phone number: 208-880-4904