MEDICARE: DR. LASHUNDA LEE PHARMD

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	183500000X	Pharmacist	38293	TX

General Provider Information

NPI Number	:	1720421456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LASHUNDA LEE PHARMD

Provider Business Mailing Address
First Line	:	4607 ASPEN LEAF LN
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77396-6113
Country	:	US
Telephone Number	:	832-518-0882
Fax Number	:

Provider Business Practice Location Address
First Line	:	4607 ASPEN LEAF LN
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77396-6113
Country	:	US
Telephone Number	:	832-518-0882
Fax Number	:

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

Provider Enumeration Date	:	04/11/2013
Last Update Date	:	04/11/2013

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