COMMONWEALTH OF KENTUCKY

LOUISVILLE, KY
NPI1699124594
Doing Business AsLEE SPECIALTY CLINIC
Entity TypeOrganization
Authorized ContactTANYIKA R WAN
CAO
502-368-2348
Organization Subpart ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: KY  SLPINP00225532)
Enumeration Date2016-06-10
Last Update Date2016-06-10
Business Address
COMMONWEALTH OF KENTUCKY
4501 LOUISE UNDERWOOD WAY
LOUISVILLE, KY 40216-3987
Phone number: 502-368-2348
Mailing Address
COMMONWEALTH OF KENTUCKY
4501 LOUISE UNDERWOOD WAY
LOUISVILLE, KY 40216-3987
Phone number: 502-368-2348