MEDICARE: ASHLEY C 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
1	3747A0650X	Attendant Care Provider

General Provider Information

NPI Number	:	1639813199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY C LEE

Provider Business Mailing Address
First Line	:	626 DUFF DR
Second Line	:
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-5005
Country	:	US
Telephone Number	:	352-362-1917
Fax Number	:

Provider Business Practice Location Address
First Line	:	626 DUFF DR
Second Line	:
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-5005
Country	:	US
Telephone Number	:	352-362-1917
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2022
Last Update Date	:	04/21/2022

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Directions to “ ASHLEY C LEE ” Practice Location

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