SearchMichigan164W00000X

Ebony Lee

NPI 1811389836 · on the registry since 2015

Practice

Address
31461 Block St Apt 303
Garden City, MI 48135
Phone
(313) 686-4629

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-02-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan