MEDICARE: MESHELA LEE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225400000X	Rehabilitation Practitioner	F4789824	CA

General Provider Information

NPI Number	:	1174954465
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MESHELA LEE

Provider Business Mailing Address
First Line	:	3085 S JONES BLVD STE D
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-6767
Country	:	US
Telephone Number	:	702-888-0036
Fax Number	:

Provider Business Practice Location Address
First Line	:	3085 S JONES BLVD STE D
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-6767
Country	:	US
Telephone Number	:	702-888-0036
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2013
Last Update Date	:	06/21/2026

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Directions to “ MESHELA LEE ” Practice Location

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