| Miss Chanese Lee, NP | |
|
3700 S Maryland Pkwy Ste 525d, Las Vegas, NV 89119-5615 | |
| (917) 293-8540 | |
| Not Available |
| Full Name | Miss Chanese Lee |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 3700 S Maryland Pkwy Ste 525d, Las Vegas, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790492486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 95023093 (California) | Primary |
| Entity Name | Vhc Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306582119 PECOS PAC ID: 8628450749 Enrollment ID: O20220804003468 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Chanese Lee, NP 3700 S Maryland Pkwy Ste 525d, Las Vegas, NV 89119-5615 Ph: () - | Miss Chanese Lee, NP 3700 S Maryland Pkwy Ste 525d, Las Vegas, NV 89119-5615 Ph: (917) 293-8540 |
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