Lee, Joan Denise

Lee, Joan Denise is an individual health care provider with primary practice located at 530 S Jackson St , Louisville KY 40202-1675. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Lee, Joan Denise can be contacted via phone (502) 852-5851.

Contact Information

Primary practice address
530 S Jackson St Louisville KY 40202-1675
Phone: (502) 852-5851
Fax: (502) 852-3762
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 042255 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 3007567 Kentucky

Profile Details

NPI number 1790784189
LBN Legal business name Lee, Joan Denise
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Nov 6th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790784189 NPPES
Tennessee Other 3057247 BCBS NUMBER
Tennessee MEDICAID 300082900 BCBS NUMBER
Tennessee MEDICAID 3620054 BCBS NUMBER
Tennessee MEDICAID 74780990 BCBS NUMBER

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