| Sasha Lee Inc | |
|
4966 Euclid Rd Ste 106 Virginia Beach VA 23462-5834 | |
| (757) 679-0361 | |
| (757) 908-2223 |
| Full Name | Sasha Lee Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4966 Euclid Rd Ste 106, Virginia Beach, Virginia |
| Authorized Official Name and Position | Sasha Lee (NURSE PRACTITIONER/OWNER) |
| Authorized Official Contact | 7576790361 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sasha Lee Inc 4966 Euclid Rd Ste 106 Virginia Beach VA 23462-5834 Ph: (757) 679-0361 | Sasha Lee Inc 4966 Euclid Rd Ste 106 Virginia Beach VA 23462-5834 Ph: (757) 679-0361 |
| NPI Number | 1386219244 |
|---|---|
| Provider Enumeration Date | 05/24/2021 |
| Last Update Date | 05/24/2021 |
| Medicare PECOS PAC ID | 9032507223 |
|---|---|
| Medicare Enrollment ID | O20211020001433 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386219244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Sasha A Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942665054 PECOS PAC ID: 4284939307 Enrollment ID: I20160226000740 |
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