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NPI Code Detail

MEDICARE: MARGE LEE P.A.

MEDICARE:   MARGE  LEE  P.A.
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
1363A00000XPhysician AssistantPA16123CA

General Provider Information

NPI Number : 1922101922
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGE LEE P.A.
Provider Business Mailing Address
First Line : 215 W BEAMER ST
Second Line :
City : WOODLAND
State : CA
Zip : 95695-2510
Country : US
Telephone Number : 530-405-2800
Fax Number : 530-204-5295
Provider Business Practice Location Address
First Line : 215 W BEAMER ST
Second Line :
City : WOODLAND
State : CA
Zip : 95695-2510
Country : US
Telephone Number : 530-405-2800
Fax Number : 530-204-5295
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2006
Last Update Date : 05/05/2017

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Directions to “ MARGE LEE P.A.” Practice Location

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