Nicole C Lee is a Physician Assistant in Bangor, Maine. Nicole C Lee practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Nicole C Lee is 1396845871. The last update date is 2017-10-25.
Nicole C Lee's current location address is 489 State St, Bangor, Maine. You can contact this provider via phone number 2079736670 and fax number 2079735226. The mailing address for Nicole C Lee is 489 State St, Bangor, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicole C Lee |
|---|---|
| Address | 489 State St, Bangor, Maine |
| Phone Number | 2079736670 |
| Fax Number | 2079735226 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1396845871 |
|---|---|
| Provider Enumeration Date | 2006-09-24 |
| Last Updated Date | 2017-10-25 |
Provider Mailing Address Detail
| Address | 489 State St |
|---|---|
| City | Bangor |
| State | Maine (ME) |
| Post Code | 44016616 |
| Phone Number | 2079736670 |
| Fax Number | 2079735226 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA768 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 261710099 | ME | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Nicole C Lee by the Centers for Medicare & Medicaid Services (CMS)?
The Nicole C Lee has been assigned the NPI (National Provider Identifier) 1396845871. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Nicole C Lee is located?
The Nicole C Lee is situated at the following address: 489 State St, Bangor, ME, 44016616.
What is Nicole C Lee's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Nicole C Lee is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Nicole C Lee receive its 1396845871 assignment from the Centers for Medicare & Medicaid Services?
The Nicole C Lee was assigned its 1396845871 by the Centers for Medicare & Medicaid Services on 2006-09-24.
As of what date were the Nicole C Lee's details last updated?
The information pertaining to the Nicole C Lee, including its address, specialty, and other details, was most recently updated on 2017-10-25.