Lee, Deborah R

Lee, Deborah R is an individual health care provider with primary practice located at 1521 Gull Rd Ste 130 , Kalamazoo MI 49048-1640. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Lee, Deborah R can be contacted via phone (269) 345-1161.

Contact Information

Primary practice address
1521 Gull Rd Ste 130 Kalamazoo MI 49048-1640
Phone: (269) 345-1161
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704205273 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 4704205273 Michigan

Profile Details

NPI number 1154639748
LBN Legal business name Lee, Deborah R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2010
Last updated Apr 8th, 2024 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154639748 NPPES
Michigan Other 1003822412 BCBSM - BMH
Michigan MEDICAID 1154639748 BCBSM - BMH

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