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NPI 1477807709

NPI 1477807709 : LORENA LEE : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1477807709
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    Entity Type          |    Individual 
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    Provider Name        |    LORENA LEE
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/08/2012
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    Last Update Date     |    02/06/2026
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Provider Practice Location Address
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    Address Line         |    11025 SW 84TH ST COTTAGE #6&7 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33173-3856
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    Country              |    US
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    Telephone            |    305-759-8500
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9962 N KENDALL DR APT 727 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33176-1738
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    Country              |    US
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    Telephone            |    786-623-8783
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    222Q00000X
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    Taxonomy Name        |    Developmental Therapist
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    License Number       |    PTA27190
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    225200000X
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    Taxonomy Name        |    Physical Therapy Assistant
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    License Number       |    PTA27190
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    License Number State |    FL
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Taxonomy #3
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    Taxonomy Code        |    208100000X
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    Taxonomy Name        |    Physical Medicine & Rehabilitation Physician
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    License Number       |    MA66895
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    License Number State |    FL
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