Marilyn Lee

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

26NH12675200 Issued in NJ

Practice address

4716 Thoroughbred Dr
N Charleston, SC 29420-7581

Phone

(973) 462-2510

NPI assigned

Jan 22, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1720618408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50844",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294850844",
            "telephone_number": "973-462-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4716 THOROUGHBRED DR",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294207581",
            "telephone_number": "973-462-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MARILYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "26NH12675200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dale Kukla, P.T
• Seth P Kupferman, MD
• Lantern Residences
• Edwin Ray Lashley, IDC
• Timothy Russell Lawton, CRT
• Kelly M Leighty
• Elizabeth May Leonard, M.D.
• Kyle Libbey, MD
• Randall Clyde Lindstrom, D.C
• Joel Chandler Lista, RPH

• Home Health Agency in N Charleston, SC
• Providers in N Charleston, SC by specialty
• Home Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.