NPI 1124839162

Michelle M Lee

Practitioner Assisted Living Facility Surprise, AZ

Practice location

Address: 17628 W Pershing St, Surprise, AZ 85388-5022
Phone: (520) 686-0253
Fax: (480) 718-8628

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence AL13059H (AZ)

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Registry record

NPI: 1124839162
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jan 2025
Record last updated: 17 Jan 2025

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.