| Mr Tao Lee, NP | |
|
1205 North Ave, Cleveland, WI 53015-1413 | |
| (920) 693-5600 | |
| (920) 693-5604 |
| Full Name | Mr Tao Lee |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 1205 North Ave, Cleveland, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295060275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 3872-33 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Tao Lee, NP 2401 N 26th St, Sheboygan, WI 53083-4479 Ph: (920) 254-1684 | Mr Tao Lee, NP 1205 North Ave, Cleveland, WI 53015-1413 Ph: (920) 693-5600 |
Carol Ilma Jacobs, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1205 North Ave, Cleveland, WI 53015 Phone: 920-693-5600 Fax: 920-693-5604 | |
Mr. Gary J Kunz, MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1205 North Avenue, Cleveland, WI 53015 Phone: 920-693-5600 |