Ms Linda Lee I, FNP, PA | |
19021 Us Highway 285, La Jara, CO 81140-9410 | |
(719) 274-5121 | |
Not Available |
Full Name | Ms Linda Lee I |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Location | 19021 Us Highway 285, La Jara, Colorado |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447247655 | NPI | - | NPPES |
19054751 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 431047 (California) | Secondary |
363A00000X | Physician Assistant | 125926 (Colorado) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ms Linda Lee I, FNP, PA 19021 Us Highway 285, La Jara, CO 81140-9410 Ph: (719) 274-5121 | Ms Linda Lee I, FNP, PA 19021 Us Highway 285, La Jara, CO 81140-9410 Ph: (719) 274-5121 |
Brian Gene Jackson, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 509 Main Street, La Jara, CO 81140 Phone: 719-376-2308 Fax: 719-376-2395 |