Victoria Lee
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Old Forge, PA
NPI 1821542440 · NPPES record last updated Aug 11, 2016
Key facts
- NPI
- 1821542440
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- License
- 30862537 (PA)
- Practice address
- 255 E Morton St
Old Forge, PA 18518-1960 - Phone
- (570) 457-3009
- NPI assigned
- Aug 11, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 30862537 | PA | MD | Student in an Organized Health Care Education/Training Program |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 30862537 | PA | Yes |
Addresses
Primary practice location
255 E Morton St
Old Forge, PA 18518-1960
Mailing address
255 East Morton St
Old Forge, PA 18518
Phone (570) 457-3009
Other providers in Old Forge, PA
- JL Slocum LLC
- JL Slocum LLC
- Kenneth C. Killino
- Lisa Kossuth
- Trinity Kupe
- Renee Lenceski
- Payton Lepore
- Allison Ann Lucarelli
- Caitlin Ashley Mackrell
- Madjak Inc
All providers in Old Forge, PA · Student in an Organized Health Care Education/Training Program in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2016. 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.