Individual provider · Type 1 NPI

Mary Lee

Student in an Organized Health Care Education/Training Program · Clinton, IL

NPI number 1801109251 Active

Practice location

1150 State Route 54 W
Clinton, IL 61727-2148

Fax (217) 935-4508

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1801109251

Mary Lee's National Provider Identifier is 1801109251, issued on Jul 14, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Clinton, IL. The record was last updated on Jul 14, 2010.