Healthcare Provider Details

I. General information

NPI: 1497659874
Provider Name (Legal Business Name): JUSTICE LEE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7020 S 32ND ST
LINCOLN NE
68516-4865
US

IV. Provider business mailing address

7020 S 32ND ST
LINCOLN NE
68516-4865
US

V. Phone/Fax

Practice location:
  • Phone: 402-613-7195
  • Fax:
Mailing address:
  • Phone: 403-613-7195
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: