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NPI Code Detail

MEDICARE: MR. PAUL FRANCIS LEE MEDICAL DOCTOR

MEDICARE: MR. PAUL FRANCIS LEE MEDICAL DOCTOR
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
1363AM0700XMedical Physician AssistantPA17413CA
2390200000XStudent in an Organized Health Care Education/Training Program
3207L00000XAnesthesiology Physician21194NV

General Provider Information

NPI Number : 1326108424
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PAUL FRANCIS LEE MEDICAL DOCTOR
Provider Business Mailing Address
First Line : 3698 ROSY CARINA PL
Second Line :
City : HENDERSON
State : NV
Zip : 89052-8304
Country : US
Telephone Number : 909-499-7767
Fax Number :
Provider Business Practice Location Address
First Line : 2779 W HORIZON RIDGE PKWY STE 140
Second Line :
City : HENDERSON
State : NV
Zip : 89052-4186
Country : US
Telephone Number : 909-499-7767
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2006
Last Update Date : 02/12/2024

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