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Search › Idaho › 390200000X

Ray Lee

NPI 1962868117 · on the registry since 2016

Practice

Address
2470 W Pullman Rd
Moscow, ID 83843
Phone
(208) 882-1344
Organisation at this address
Walmart Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
390200000X
Licence states on file
WA, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-01-04

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 Idaho