Organization
LALEE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAVERNA A LEE ARNP (NURSE PRACTITIONER)
(786) 223-2793
Entity
Organization
Contact information
Practice address
28 MALDEN CIR, WHEATLEY HEIGHTS, NY 11798-1507
(786) 223-2793
Mailing address
28 MALDEN CIR, WHEATLEY HEIGHTS, NY 11798-1507
(631) 644-4871
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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