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NPI Code Detail

MEDICARE: MR. JAMES MING LEE LMFTA

MEDICARE: MR. JAMES MING LEE LMFTA
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
1106H00000XMarriage & Family Therapist85000294AIN

General Provider Information

NPI Number : 1588135552
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES MING LEE LMFTA
Provider Business Mailing Address
First Line : 8401 HARCOURT RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-2073
Country : US
Telephone Number : 317-338-4885
Fax Number : 317-338-4890
Provider Business Practice Location Address
First Line : 8401 HARCOURT RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-2073
Country : US
Telephone Number : 317-338-4885
Fax Number : 317-338-4890
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2018
Last Update Date : 12/17/2018

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