Healthcare Provider Details

I. General information

NPI: 1134034911
Provider Name (Legal Business Name): LEE SAIPPA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

629 W CLOVERLAND DR
IRONWOOD MI
49938-1006
US

IV. Provider business mailing address

701 GRANITE ST
HURLEY WI
54534-1379
US

V. Phone/Fax

Practice location:
  • Phone: 800-215-8262
  • Fax: 906-779-7456
Mailing address:
  • Phone: 800-215-8262
  • Fax: 906-779-7456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number4703102595
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: