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NPI Code Detail

MEDICARE: SUZANNE ELIZABETH LEE

MEDICARE:   SUZANNE ELIZABETH 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
1171M00000XCase Manager/Care CoordinatorLA

General Provider Information

NPI Number : 1457849499
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZANNE ELIZABETH LEE
Provider Business Mailing Address
First Line : 3173 WASHINGTON AVE
Second Line :
City : BATON ROUGE
State : LA
Zip : 70802-2178
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3173 WASHINGTON AVE
Second Line :
City : BATON ROUGE
State : LA
Zip : 70802-2178
Country : US
Telephone Number : 225-778-7678
Fax Number : 225-341-6825
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2018
Last Update Date : 02/02/2026

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Directions to “ SUZANNE ELIZABETH LEE ” Practice Location

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