Sandra Marlene Lee, LPT
Individual provider Active NPI Health Information Specialist/Technologist · Loma Rica, CA
NPI 1952471963 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1952471963
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health Information Specialist/Technologist 246Y00000X
- License
- PT 29507 (CA)
- Practice address
- 5193 Fruitland Rd
Loma Rica, CA 95901-9505 - Phone
- (530) 749-0581
- NPI assigned
- Nov 8, 2006
- 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 |
|---|---|---|---|
| PT 29507 | CA | MD | Health Information Specialist/Technologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Information Specialist/Technologist | 246Y00000X | PT 29507 | CA | Yes |
Addresses
Primary practice location
5193 Fruitland Rd
Loma Rica, CA 95901-9505
Mailing address
5193 Fruitland Rd
Loma Rica, CA 95901-9505
Phone (530) 749-0581
Other providers in Loma Rica, CA
All providers in Loma Rica, CA · Health Information Specialist/Technologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.