MEDICARE: CAROLYN F 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	376J00000X	Homemaker	$$$$$$$$$	OH

General Provider Information

NPI Number	:	1760180202
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLYN F LEE

Provider Business Mailing Address
First Line	:	3310 PHILADELPHIA DR
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45405-1919
Country	:	US
Telephone Number	:	937-830-7468
Fax Number	:

Provider Business Practice Location Address
First Line	:	3310 PHILADELPHIA DR
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45405-1919
Country	:	US
Telephone Number	:	937-830-7468
Fax Number	:

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

Provider Enumeration Date	:	02/22/2023
Last Update Date	:	02/22/2023

Similar Medicare Providers

1730402579 — MS. KATRESHA JANIECE WILLIAMS-ELLINGTON APRN
Practice Location Address:

3300 PHILADELPHIA DR
DAYTON, OH
45405-1919

Practice Phone: 937-274-1501
Practice Fax:

1861566564 — EXTENDICARE HOMES, INC.
Practice Location Address:

3650 KLEPINGER RD
DAYTON, OH
45416-1919

Practice Phone: 937-278-0663
Practice Fax: 937-278-1977

1912834375 — GLENN RAYMOND HARDIN III
Practice Location Address:

8044 MONTGOMERY RD. , SUITE 120
DAYTON, OH
45405-2346

Practice Phone: 586-850-4435
Practice Fax:

1992636153 — NATOSHA JONES
Practice Location Address:

51 BEST ST FL 3
DAYTON, OH
45405-4906

Practice Phone: 937-673-6988
Practice Fax:

1457094807 — JEREMY SANDBERG DO
Practice Location Address:

405 W GRAND AVE
DAYTON, OH
45405-7538

Practice Phone: 937-723-3245
Practice Fax:

1225809551 — MONICA CAMP
Practice Location Address:

3313 HIGHCREST CT
DAYTON, OH
45405-2020

Practice Phone: 937-270-3840
Practice Fax:

Directions to “ CAROLYN F LEE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.