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NPI Code Detail

MEDICARE: DR. NOAH LEE D.O.

MEDICARE: DR. NOAH LEE D.O.
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
1207Q00000XFamily Medicine PhysicianOS9305FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
159005OTHERFLBCBS
2305302OTHERFLAVMED
37226862OTHERFLAETNA
4S093051OTHERFLPREFERRED
519148OTHERFLEVOLUTIONS
67994899OTHERCIGNA
7138015OTHERFLGHI
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275559106
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NOAH LEE D.O.
Provider Business Mailing Address
First Line : 1421 E OAKLAND PARK BLVD
Second Line : SUITE 101
City : OAKLAND PARK
State : FL
Zip : 33334-4434
Country : US
Telephone Number : 954-565-0875
Fax Number : 954-565-0876
Provider Business Practice Location Address
First Line : 1421 E OAKLAND PARK BLVD
Second Line : SUITE 101
City : OAKLAND PARK
State : FL
Zip : 33334-4434
Country : US
Telephone Number : 954-565-0875
Fax Number : 954-565-0876
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2006
Last Update Date : 08/11/2015

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Directions to “ DR. NOAH LEE D.O.” Practice Location

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