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NPI Code Detail

MEDICARE: LYNDA LEE

MEDICARE:   LYNDA  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
11835P2201XAmbulatory Care Pharmacist35226TX

General Provider Information

NPI Number : 1669786687
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNDA LEE
Provider Business Mailing Address
First Line : 4600 SCYENE RD
Second Line :
City : DALLAS
State : TX
Zip : 75210-2219
Country : US
Telephone Number : 214-266-1077
Fax Number : 214-266-1076
Provider Business Practice Location Address
First Line : 11920 PRESTON RD
Second Line :
City : DALLAS
State : TX
Zip : 75230-2711
Country : US
Telephone Number : 972-980-4915
Fax Number : 972-392-1506
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2010
Last Update Date : 08/31/2022

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Directions to “ LYNDA LEE ” Practice Location

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