NPI 1013243567
Bao Lee, MHPP
Practice location
- Address
- 2805 E Zion Rd, Fayetteville, AR 72703-5195
- Phone
- (479) 443-6496
- Fax
- (479) 443-2519
- Mailing address
- 3352 N Futrall Dr, Fayetteville, AR 72703-4057
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1013243567
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 19 Oct 2009
- Record last updated
- 19 Oct 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.