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Search › Indiana › 183500000X

Samuel Lee

NPI 1942913660 · on the registry since 2022

Practice

Address
260 Logistics Ave Ste B
Jeffersonville, IN 47130
Phone
(812) 850-2253
Organisation at this address
Costco Wholesale Corporation
Costco Wholesale Corporation
Costco Wholesale Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-12-27

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 Indiana