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Brandon Thomas Lee

Podiatrist in La Crosse, WI. Individual provider (NPI-1).

NPI number1962909366
StatusActive
Last updated in NPPESAug 28, 2024

Details

NPI
1962909366
Entity type
Individual (NPI-1)
Name
Brandon Thomas Lee
Sex
Male
Sole proprietor
No
Enumeration date
Apr 11, 2018
Certification date
Aug 28, 2024
Last updated
Aug 28, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213E00000X Podiatrist1195WIYes

Practice location

700 West Ave S
La Crosse, WI 54601-4783

Phone 608-785-0940

Mailing address

200 1st St Sw
Rochester, MN 55905-0002

Phone 608-785-0940

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Other Podiatrist providers in La Crosse, WI

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