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NPI Code Detail

MEDICARE: LATOYA BO'NEE LEE DNP,

MEDICARE: LATOYA BO'NEE LEE DNP,
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner3012007KY

General Provider Information

NPI Number : 1225546690
Entity Type Code : Individual
Provider Name (Legal Business Name) : LATOYA BO'NEE LEE DNP,
Provider Business Mailing Address
First Line : 1030 MONARCH ST
Second Line :
City : LEXINGTON
State : KY
Zip : 40513-1843
Country : US
Telephone Number : 859-296-3141
Fax Number :
Provider Business Practice Location Address
First Line : 161 PROSPEROUS PL STE 100
Second Line :
City : LEXINGTON
State : KY
Zip : 40509-1898
Country : US
Telephone Number : 859-368-0609
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2018
Last Update Date : 01/18/2018

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