MEDICARE: APRIL H LEE PT

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	225100000X	Physical Therapist	PT005236	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639121189
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	APRIL H LEE PT

Provider Business Mailing Address
First Line	:	453 IRA LN
Second Line	:
City	:	CAIRO
State	:	GA
Zip	:	39828-6274
Country	:	US
Telephone Number	:	229-221-4267
Fax Number	:	229-378-8269

Provider Business Practice Location Address
First Line	:	151 MARTIN LUTHER KING JR AVE SW
Second Line	:
City	:	CAIRO
State	:	GA
Zip	:	39828-2605
Country	:	US
Telephone Number	:	229-377-0891
Fax Number	:	229-377-0883

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

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	01/08/2015

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Directions to “ APRIL H LEE PT” Practice Location

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