Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | ME26538 | FL |
Y | 2084N0400X | Neurologist | 6381 | NV |
NPI | 1669488185 |
---|---|
Provider Name | Dr. Richard Scott Lee |
First Address | Las Vegas, NV 89117 |
Second Address | Las Vegas, NV 89169-5972 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 17/12/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
260536800 | (05) | FL |
D67283 | (02) | FL |