Provider Demographics
NPI:1023729365
Name:WRIGHT-LEE, COURTNEY AMBER (PSS)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:AMBER
Last Name:WRIGHT-LEE
Suffix:
Gender:F
Credentials:PSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 ELM ST
Mailing Address - Street 2:
Mailing Address - City:CAMPBELLSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42718-2406
Mailing Address - Country:US
Mailing Address - Phone:270-469-8288
Mailing Address - Fax:
Practice Address - Street 1:341 OFFICE PARK DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:KY
Practice Address - Zip Code:42728-1392
Practice Address - Country:US
Practice Address - Phone:270-380-1601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-07
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist