Ivy Lee

NPI #1184354128 in Corvallis, Oregon

Provider Information

NPI Number: 1184354128
Entity Type: Individual
Name: Ivy Lee
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacy Technician
Enumeration Date: Jun 13, 2022
Last Updated: Jun 13, 2022

Practice Location

Address: 3200 SE MIDVALE DR APT F103
City: Corvallis
State: Oregon
ZIP Code: 97333-3153
Phone: (775) 453-8956

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy Technician	183700000X	Primary

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