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NPI Code Detail

MEDICARE: SUSAN LEE

MEDICARE: SUSAN 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
1111N00000XChiropractorCHR.0008021CO

General Provider Information

NPI Number : 1558922260
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN LEE
Provider Business Mailing Address
First Line : 2323 S TROY ST STE 2-200
Second Line :
City : AURORA
State : CO
Zip : 80014-1982
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2323 S TROY ST STE 2-200
Second Line :
City : AURORA
State : CO
Zip : 80014-1982
Country : US
Telephone Number : 720-619-8844
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2019
Last Update Date : 06/24/2019

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Directions to “ SUSAN LEE ” Practice Location

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