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NPI Code Detail

MEDICARE: LEAH CATHERINE LEE RN, NP

MEDICARE: LEAH CATHERINE LEE RN, NP
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
1163W00000XRegistered Nurse227069NC

General Provider Information

NPI Number : 1669788311
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEAH CATHERINE LEE RN, NP
Provider Business Mailing Address
First Line : 9900 BREN RD E
Second Line :
City : MINNETONKA
State : MN
Zip : 55343-9664
Country : US
Telephone Number : 704-249-8737
Fax Number :
Provider Business Practice Location Address
First Line : 4004 LANNIER FALLS LN
Second Line :
City : CHARLOTTE
State : NC
Zip : 28270-1118
Country : US
Telephone Number : 310-699-6023
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2010
Last Update Date : 07/08/2020

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