NPI | 1952164261 |
---|---|
Doing Business As | THERESA LEE CLINIC |
Entity Type | Organization |
Authorized Contact | NIKKI L COCROFT Clinical Services Coordinator 520-724-7742 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health |
Enumeration Date | 2024-01-31 |
Last Update Date | 2024-01-31 |