Healthcare Provider Details

I. General information

NPI: 1649944554
Provider Name (Legal Business Name): LEE BEE VUE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2021
Last Update Date: 08/04/2021
Certification Date: 08/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 COUNTY CENTER DR
OROVILLE CA
95965-3335
US

IV. Provider business mailing address

42 COUNTY CENTER DR
OROVILLE CA
95965-3335
US

V. Phone/Fax

Practice location:
  • Phone: 530-552-4381
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: