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NPI Code Detail

MEDICARE: ANGELA LEE

MEDICARE:   ANGELA  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
1104100000XSocial Worker4155KY

General Provider Information

NPI Number : 1548240377
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA LEE
Provider Business Mailing Address
First Line : PO BOX 266
Second Line :
City : MADISON
State : FL
Zip : 32341-0266
Country : US
Telephone Number : 850-971-9928
Fax Number :
Provider Business Practice Location Address
First Line : 475 NE CATNIP WAY
Second Line :
City : LEE
State : FL
Zip : 32059-7103
Country : US
Telephone Number : 850-971-9928
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2006
Last Update Date : 07/09/2007

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Directions to “ ANGELA LEE ” Practice Location

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