Lee Supitilov

NPI #1174058606 in Osage Beach, Missouri

Provider Information

NPI Number
1174058606
Entity Type
Individual
Name
Lee Supitilov
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Hearing Instrument Specialist
Enumeration Date
Apr 21, 2017
Last Updated
Apr 21, 2017

Practice Location

Address
3797 OSAGE BEACH PKWY
ZIP Code
65065-2186
Phone
(573) 302-0340

Specialties & Taxonomy Codes

Specialty
Hearing Instrument Specialist

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Organizations

Provider Name
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