MS. Myrna Lee, P.A.-C

NPI #1194833111 in Idaho Falls, Idaho

Provider Information

NPI Number
1194833111
Entity Type
Individual
Name
MS. Myrna Lee, P.A.-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Medical
Credential
P.A.-C
Enumeration Date
Aug 29, 2006
Last Updated
May 18, 2009

Practice Location

Address
1740 E 17TH ST
Address 2
SUITE A
State
Idaho
ZIP Code
83404-6375
Phone
(208) 346-7500

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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