Lee, Laura

Lee, Laura is an sole proprietor health care provider with primary practice located at 436 Blue Bayou Ln , Winter Springs FL 32708-7120. She recently has 2 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Ambulatory Health Care Facilities / Developmental Disabilities. Ambulatory Health Care Facilities / Developmental Disabilities is her primary health care specialty. Lee, Laura can be contacted via phone (407) 807-2289.

Contact Information

Primary practice address
436 Blue Bayou Ln Winter Springs FL 32708-7120
Phone: (407) 807-2289
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X Florida
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X

Profile Details

NPI number 1275172801
LBN Legal business name Lee, Laura
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 30th, 2019
Last updated Dec 19th, 2020 - about 6 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 1275172801 NPPES
Florida MEDICAID 104158100

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