Healthcare Provider Details

I. General information

NPI: 1689115727
Provider Name (Legal Business Name): MEREDITH ALICIA LEE NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2017
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1890 AL HIGHWAY 157 STE 300
CULLMAN AL
35058-0689
US

IV. Provider business mailing address

1001 PARKWAY DR
BURLINGTON IA
52601-3435
US

V. Phone/Fax

Practice location:
  • Phone: 256-737-8038
  • Fax: 256-737-8059
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-206860
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: