NPI | 1699124594 |
---|---|
Doing Business As | LEE SPECIALTY CLINIC |
Entity Type | Organization |
Authorized Contact | TANYIKA R WAN CAO 502-368-2348 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY SLPINP00225532) |
Enumeration Date | 2016-06-10 |
Last Update Date | 2016-06-10 |