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NPI Code Detail

MEDICARE: ESTHER LEE

MEDICARE:   ESTHER  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
1183500000XPharmacist50701TX

General Provider Information

NPI Number : 1730461286
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESTHER LEE
Provider Business Mailing Address
First Line : 7000 CONVICT HILL RD
Second Line : APARTMENT 5205
City : AUSTIN
State : TX
Zip : 78749-1701
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3601 W WILLIAM CANNON DR
Second Line :
City : AUSTIN
State : TX
Zip : 78749-1533
Country : US
Telephone Number : 512-892-0930
Fax Number : 512-892-2479
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2011
Last Update Date : 09/11/2011

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Directions to “ ESTHER LEE ” Practice Location

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