Marley Lee
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Duson, LA
NPI 1083473169 · NPPES record last updated Mar 19, 2024
Key facts
- NPI
- 1083473169
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 503 Courtney Dr
Duson, LA 70529-4418 - Phone
- (337) 561-8098
- NPI assigned
- Mar 19, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240628001971 | LA | Order and Referring Only - Internal Medicine |
7416491626 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
503 Courtney Dr
Duson, LA 70529-4418
Mailing address
503 Courtney Dr
Duson, LA 70529-4418
Phone (337) 561-8098
Other providers in Duson, LA
- William Ivey
- Tamika Letisha Jones
- Kathryn King
- Jennifer Landry
- Ryan D. Leblanc
- Caitlin Perkins Lemoine
- Louisiana Institutional Pharmacy LLC
- LP Pharmaceuticals, LLC.
- Allison S Malveaux
- Vantazia Martice Mason-Morris
All providers in Duson, LA · Student in an Organized Health Care Education/Training Program in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.