MEDICARE: CHRISTEN LEE NP-C

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	363LF0000X	Family Nurse Practitioner	APRN.CNP.12463	OH

General Provider Information

NPI Number	:	1376821421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTEN LEE NP-C

Provider Business Mailing Address
First Line	:	11706 CLIFTON BLVD
Second Line	:
City	:	LAKEWOOD
State	:	OH
Zip	:	44107-2018
Country	:	US
Telephone Number	:	866-389-2727
Fax Number	:

Provider Business Practice Location Address
First Line	:	9500 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44195-2018
Country	:	US
Telephone Number	:	216-444-2200
Fax Number	:

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

Provider Enumeration Date	:	07/22/2011
Last Update Date	:	10/28/2020

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