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NPI Code Detail

MEDICARE: KAREN JENELLA LEE FNP

MEDICARE: KAREN JENELLA LEE FNP
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 PractitionerF334916NY

General Provider Information

NPI Number : 1619918190
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN JENELLA LEE FNP
Provider Business Mailing Address
First Line : 2625 DELAWARE AVE STE 124
Second Line :
City : BUFFALO
State : NY
Zip : 14216-1705
Country : US
Telephone Number : 716-447-6450
Fax Number : 716-447-6486
Provider Business Practice Location Address
First Line : 2625 DELAWARE AVE STE 124
Second Line :
City : BUFFALO
State : NY
Zip : 14216-1705
Country : US
Telephone Number : 716-447-6450
Fax Number : 716-447-6486
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 06/08/2026

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