Park, Melissa Lee
Park, Melissa Lee is an individual health care provider with primary practice located at 1203 Idaho St , Lewiston ID 83501-1940. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Park, Melissa Lee can be contacted via phone (509) 444-8888.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 015943 | Maine |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | M-10546 | Idaho |
Profile Details
| NPI number | 1386676039 |
|---|---|
| LBN Legal business name | Park, Melissa Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Jul 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386676039 | NPPES |
| Maine | MEDICAID | 431898000 | |
| Maine | MEDICAID | 808286200 |
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