Lee Self is a Gynecology in Ola, Idaho. Lee Self practices all healthcare services and medical treatments related to Gynecology. The NPI Number for Lee Self is 1639121361. The last update date is 2023-11-12.
Lee Self's current location address is 23000 Sweet Ola Hwy, Ola, Idaho. You can contact this provider via phone number 2088804904 and fax number 2085849341. The mailing address for Lee Self is 23000 Sweet Ola Hwy, Ola, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lee Self |
|---|---|
| Address | 23000 Sweet Ola Hwy, Ola, Idaho |
| Phone Number | 2088804904 |
| Fax Number | 2085849341 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1639121361 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2023-11-12 |
Provider Mailing Address Detail
| Address | 23000 Sweet Ola Hwy |
|---|---|
| City | Ola |
| State | Idaho (ID) |
| Post Code | 836575027 |
| Phone Number | 2088804904 |
| Fax Number | 2085849341 |
Provider's Primary Taxonomy Detail
| Speciality | Gynecology |
|---|---|
| Taxonomy | 207Vg0400X |
| Licence No | M7844 |
|
Definition: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Lee Self by the Centers for Medicare & Medicaid Services?
The Lee Self has been assigned the NPI (National Provider Identifier) 1639121361 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Lee Self is geographically located?
The Lee Self is physically situated at the following location: 23000 Sweet Ola Hwy, Ola, ID, 836575027.
What is Lee Self's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lee Self is Gynecology, and the taxonomy code that categorizes this field of expertise is 207Vg0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1639121361 to Lee Self?
The Centers for Medicare & Medicaid Services assigned the 1639121361 to Lee Self on 2006-05-17.
As of what date were the Lee Self's details last updated?
The information pertaining to the Lee Self, including its address, specialty, and other details, was most recently updated on 2023-11-12.
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