Individual
REBECCA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
4196 W US HIGHWAY 90 STE 105, LAKE CITY, FL 32055-8834
(386) 243-8474
(386) 438-5945
Mailing address
4196 W US HIGHWAY 90 STE 105, LAKE CITY, FL 32055-8834
(386) 243-8474
(386) 438-5945
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9410116
FL
163WP0200X
Pediatric Registered Nurse
RN9410116
FL
163WP0218X
Pediatric Oncology Registered Nurse
RN9410116
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11029330
FL
Other
Enumeration date
09/13/2021
Last updated
04/05/2024
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