MEDICARE: MR. MAKENZIE 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	101YM0800X	Mental Health Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255745352
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MAKENZIE LEE

Provider Business Mailing Address
First Line	:	9925 W RUSSELL RD UNIT 2040
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-5601
Country	:	US
Telephone Number	:	623-241-3968
Fax Number	:

Provider Business Practice Location Address
First Line	:	9925 W RUSSELL RD UNIT 2040
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-5601
Country	:	US
Telephone Number	:	623-241-3968
Fax Number	:

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

Provider Enumeration Date	:	06/17/2014
Last Update Date	:	06/17/2014

Similar Medicare Providers

1043821762 — JUSTIN JI
Practice Location Address:

2255 E CENTENNIAL PKWY
NORTH LAS VEGAS, NV
89081-5601

Practice Phone: 702-633-6222
Practice Fax:

1285659805 — SMITHS FOOD & DRUG CENTERS INC
Practice Location Address:

2255 E CENTENNIAL PKWY
NORTH LAS VEGAS, NV
89081-5601

Practice Phone: 702-633-6222
Practice Fax: 702-633-8849

1992335996 — ROBYN ELIZABETH CLUCK
Practice Location Address:

2255 E CENTENNIAL PKWY
NORTH LAS VEGAS, NV
89081-5601

Practice Phone: 702-633-6222
Practice Fax: 702-633-8849

1801697255 — DR. HAYDER ALLKHENFR DO, MPH
Practice Location Address:

9300 W SUNSET RD
LAS VEGAS, NV
89148-4844

Practice Phone: 702-916-6904
Practice Fax:

1700718947 — NUHAMEN TEFERA
Practice Location Address:

5639 MERCED ST
LAS VEGAS, NV
89148-7634

Practice Phone: 702-830-2325
Practice Fax:

1811829823 — GOLDEN HEALTH HOSPITALIST LLC
Practice Location Address:

8905 W POST RD STE 110
LAS VEGAS, NV
89148-2429

Practice Phone: 702-900-9888
Practice Fax: 888-316-6618

Directions to “ MR. MAKENZIE LEE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.