| Doctor Name: | GWENDOLYN R. LEE |
| NPI Number: | 1023318151 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CCNS, APRN |
| License Number: | 4293 |
| Business Practice Address: | 2361 Cypress Circle Conway, SC - 29526 |
| Business Phone Number: | 8433477291 |
| Business Fax Number: | 8433470139 |
| Mailing Address: | 2361 Cypress Circle, CONWAY |
| State: | SC |
| Postal Code: | 29526 |
| Phone Number: | 8433477291 |
| Fax Number: | 8433470139 |
| NPI Enumeration Date: | 10/22/2010 |
| NPI Last Update Date: | 10/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SC0200X |
| License Number: | 4293 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Critical Care Medicine |
| Taxonomy Definition: | |