Austin, Lee
Austin, Lee is an individual health care provider with primary practice located at 650 Sanitarium Rd , Deer Park CA 94576. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Austin, Lee can be contacted via phone (707) 963-3611.Contact Information
Primary practice address
650 Sanitarium Rd
Deer Park CA 94576
Phone: (707) 963-3611
Fax: (707) 967-5622
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | RN592567 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | NA2796 | California |
Profile Details
| NPI number | 1467511881 |
|---|---|
| LBN Legal business name | Austin, Lee |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2006 |
| Last updated | Mar 14th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467511881 | NPPES |
| California | MEDICAID | RN5925670 | |
| California | Other | 359252000 | |
| California | Other | NA0027960 |
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