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NPI Code Detail

MEDICARE: MS. ELEANOR L LEE

MEDICARE: MS. ELEANOR L 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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1689826877
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ELEANOR L LEE
Provider Business Mailing Address
First Line : 1005 ATLANTIC AVE
Second Line :
City : ALAMEDA
State : CA
Zip : 94501-1148
Country : US
Telephone Number : 510-844-8244
Fax Number : 510-878-7345
Provider Business Practice Location Address
First Line : 1005 ATLANTIC AVE
Second Line :
City : ALAMEDA
State : CA
Zip : 94501-1148
Country : US
Telephone Number : 510-844-8244
Fax Number : 510-878-7345
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2008
Last Update Date : 05/01/2025

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Directions to “ MS. ELEANOR L LEE ” Practice Location

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