Racheal Lee
Individual provider Active NPI Registered Nurse · Lisle, NY
NPI 1114428166 · NPPES record last updated Feb 26, 2018
Key facts
- NPI
- 1114428166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 565213-1 (NY)
- Practice address
- 107 Edwards Hill Rd
Lisle, NY 13797-1735 - Phone
- (607) 760-6801
- NPI assigned
- Feb 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 565213-1 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 565213-1 | NY | Yes |
Addresses
Primary practice location
107 Edwards Hill Rd
Lisle, NY 13797-1735
Mailing address
107 Edwards Hill Rd
Lisle, NY 13797-1735
Phone (607) 760-6801
Other providers in Lisle, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.