Lee, Regina A

Lee, Regina A is an individual health care provider with primary practice located at 2060 N Shadeland Ave , Indianapolis IN 46219-1762. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Lee, Regina A can be contacted via phone (317) 270-0710.

Contact Information

Primary practice address
2060 N Shadeland Ave Indianapolis IN 46219-1762
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 86000231A Indiana

Profile Details

NPI number 1780101162
LBN Legal business name Lee, Regina A
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2017
Last updated Aug 25th, 2017 - about 9 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 1780101162 NPPES
Indiana Other 86000231A LICENSE NUMBER

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