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Gaonhub Lee
Family Nurse Practitioner in Menomonie, Wisconsin
NPI 1669132650

Gaonhub Lee is a Family Nurse Practitioner based in Menomonie, WI and is specialized in Family. Gaonhub Lee practices in Menomonie, WI. The NPI Number for Gaonhub Lee is 1669132650 and holds a License No. 11372-33 (Wisconsin).

The current practice location address for Gaonhub Lee is 2919 Stout Rd, Menomonie, WI and can be reached out via phone at 715-309-4451.

Location: 2919 Stout Rd, Menomonie, WI, 54751-2313
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669132650
Provider Name
Gaonhub Lee
Credential
Provider Entity Type
Individual
Gender
Female
Address
2919 Stout Rd, Menomonie, WI, 54751-2313
Phone Number
715-309-4451
Fax Number
Provider Enumeration Date
12/18/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2919 Stout Rd
City
Menomonie
State
Wisconsin
Zip
54751-2313
Phone Number
715-309-4451
Fax Number
person
Provider Business Mailing Address Details
Address
2919 Stout Rd
City
Menomonie
State
Wisconsin
Zip
54751-2313
Phone Number
715-309-4451
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
11372-33 (Wisconsin)
Definition
Definition to come...
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