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NPI Code Detail

MEDICARE: CAROLYN W LEE NP

MEDICARE: CAROLYN W LEE NP
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
1163WG0000XGeneral Practice Registered NurseF420475-1NY

General Provider Information

NPI Number : 1811938012
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLYN W LEE NP
Provider Business Mailing Address
First Line : 835 HOPKINS RD
Second Line :
City : WILLIAMSVILLE
State : NY
Zip : 14221-2322
Country : US
Telephone Number : 716-688-0500
Fax Number :
Provider Business Practice Location Address
First Line : 835 HOPKINS RD
Second Line :
City : WILLIAMSVILLE
State : NY
Zip : 14221-2322
Country : US
Telephone Number : 716-688-0500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2006
Last Update Date : 07/08/2007

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