MEDICARE: MURLYNN 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
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1740589415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MURLYNN LEE

Provider Business Mailing Address
First Line	:	4248 SPENCER ST
Second Line	:	240
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5543
Country	:	US
Telephone Number	:	480-518-6398
Fax Number	:

Provider Business Practice Location Address
First Line	:	4248 SPENCER ST
Second Line	:	240
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5543
Country	:	US
Telephone Number	:	480-518-6398
Fax Number	:

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

Provider Enumeration Date	:	03/21/2011
Last Update Date	:	03/21/2011

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Directions to “ MURLYNN LEE ” Practice Location

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