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NPI Code Detail

MEDICARE: MONICA LEE

MEDICARE: MONICA 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
1363LF0000XFamily Nurse Practitioner9280567FL

Other Identifiers

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

General Provider Information

NPI Number : 1538679113
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA LEE
Provider Business Mailing Address
First Line : PO BOX 735706
Second Line :
City : CHICAGO
State : IL
Zip : 60673-1164
Country : US
Telephone Number : 786-252-2770
Fax Number :
Provider Business Practice Location Address
First Line : 1735 N TREASURE DR
Second Line :
City : NORTH BAY VILLAGE
State : FL
Zip : 33141-4216
Country : US
Telephone Number : 305-865-2383
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2017
Last Update Date : 04/08/2024

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