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NPI Code Detail

MEDICARE: LONDON LEE

MEDICARE: LONDON 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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1407706146
Entity Type Code : Individual
Provider Name (Legal Business Name) : LONDON LEE
Provider Business Mailing Address
First Line : 372 BRYAN DR STE 112
Second Line :
City : DURANT
State : OK
Zip : 74701-3466
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 372 BRYAN DR STE 112
Second Line :
City : DURANT
State : OK
Zip : 74701-3466
Country : US
Telephone Number : 903-444-0910
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2026
Last Update Date : 02/02/2026

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Directions to “ LONDON 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.

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