MEDICARE: DR. LEE ANN KALABA DC

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	111N00000X	Chiropractor	8308	AZ

General Provider Information

NPI Number	:	1467891853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEE ANN KALABA DC

Provider Business Mailing Address
First Line	:	7050 E SUNRISE DR UNIT 18205
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85750-0869
Country	:	US
Telephone Number	:	520-237-0830
Fax Number	:

Provider Business Practice Location Address
First Line	:	5405 E PIMA ST
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-3674
Country	:	US
Telephone Number	:	520-955-8373
Fax Number	:

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

Provider Enumeration Date	:	06/18/2013
Last Update Date	:	11/07/2022

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