MEDICARE: SHARON LEE

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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1235640608
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON LEE

Provider Business Mailing Address
First Line	:	5902 ROBIN LN
Second Line	:
City	:	SUITLAND
State	:	MD
Zip	:	20746-5116
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5902 ROBIN LN
Second Line	:
City	:	SUITLAND
State	:	MD
Zip	:	20746-5116
Country	:	US
Telephone Number	:	301-423-5190
Fax Number	:

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

Provider Enumeration Date	:	10/12/2017
Last Update Date	:	10/12/2017

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Directions to “ SHARON LEE ” Practice Location

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