Diane C Lee, B.S.

NPI #1124293303 in La Grange, Illinois

Provider Information

NPI Number: 1124293303
Entity Type: Individual
Name: Diane C Lee, B.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: B.S.
Enumeration Date: Apr 28, 2008
Last Updated: Apr 28, 2008

Practice Location

Address: 401 W ELM AVE
City: La Grange
State: Illinois
ZIP Code: 60525-2203
Phone: (708) 642-5090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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