Tanja Latisha Lee
NPI #1063393734 in Burgaw, North Carolina
Provider Information
- NPI Number
- 1063393734
- Entity Type
- Individual
- Name
- Tanja Latisha Lee
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Sep 10, 2025
- Last Updated
- Sep 10, 2025
Practice Location
- Address
- 3135 NC HIGHWAY 53 E
- City
- Burgaw
- State
- North Carolina
- ZIP Code
- 28425-3846
- Phone
- (910) 317-0274
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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