MEDICARE: LEE ENGLISH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172A00000X	Driver

General Provider Information

NPI Number	:	1023689775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEE ENGLISH

Provider Business Mailing Address
First Line	:	3163 HASKELL DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43219-3221
Country	:	US
Telephone Number	:	740-396-0757
Fax Number	:

Provider Business Practice Location Address
First Line	:	3163 HASKELL DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43219-3221
Country	:	US
Telephone Number	:	740-396-0757
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/04/2021
Last Update Date	:	07/04/2021

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Directions to “ LEE ENGLISH ” Practice Location

Language	Start Address	Practice Location

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