| Lucienne Lee Phd, Llc | |
|
9229 Ward Pkwy Suite 225 Kansas City MO 64114-3326 | |
| (816) 444-5511 | |
| (816) 822-8058 |
| Full Name | Lucienne Lee Phd, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 9229 Ward Pkwy, Kansas City, Missouri |
| Authorized Official Name and Position | Lucienne Alma Lee (OWNER) |
| Authorized Official Contact | 8164445511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lucienne Lee Phd, Llc 9229 Ward Pkwy Suite 225 Kansas City MO 64114-3326 Ph: (816) 444-5511 | Lucienne Lee Phd, Llc 9229 Ward Pkwy Suite 225 Kansas City MO 64114-3326 Ph: (816) 444-5511 |
| NPI Number | 1528442365 |
|---|---|
| Provider Enumeration Date | 07/10/2015 |
| Last Update Date | 07/14/2015 |
| Medicare PECOS PAC ID | 1951610484 |
|---|---|
| Medicare Enrollment ID | O20151022001777 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528442365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY01453 (Missouri) | Primary |
| Provider Name | Lucienne A Lee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437226578 PECOS PAC ID: 8022154392 Enrollment ID: I20090930000553 |
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