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NPI Code Detail

MEDICARE: ALEX LEE

MEDICARE: ALEX 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
1164X00000XLicensed Vocational Nurse281128CA

General Provider Information

NPI Number : 1639904873
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEX LEE
Provider Business Mailing Address
First Line : 8414 YERMO WAY
Second Line :
City : SACRAMENTO
State : CA
Zip : 95828-6318
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3037 BRYANT PL
Second Line :
City : DAVIS
State : CA
Zip : 95618-1613
Country : US
Telephone Number : 916-417-6384
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2024
Last Update Date : 09/06/2024

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Directions to “ ALEX LEE ” Practice Location

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