Lee William Mccowan Sr, is a
Day Training/habilitation Specialist based in Stockton, California. Lee William Mccowan Sr is licensed to practice in California (license number ) and his current practice location is
2495 W March Ln Ste 125, Stockton, California. He can be reached at his office (for appointments etc.) via phone at
(209) 320-7610.
NPI number for Lee William Mccowan Sr is 1063110286 and his current mailing address is 2495 W March Ln Ste 125, Stockton, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063110286.
Healthcare Provider's Profile
| Full Name | Lee William Mccowan Sr |
|---|
| Gender | Male |
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| Speciality | Day Training/habilitation Specialist |
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| Location | 2495 W March Ln Ste 125, Stockton, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1063110286
- Provider Enumeration Date: 02/16/2023
- Last Update Date: 04/22/2025
Medical Identifiers
Medical identifiers for Lee William Mccowan Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063110286 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
| 373H00000X | Day Training/habilitation Specialist | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lee William Mccowan Sr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lee William Mccowan Sr,
2495 W March Ln Ste 125,
Stockton, CA 95207-8224
Ph: (209) 320-7610 | Lee William Mccowan Sr,
2495 W March Ln Ste 125,
Stockton, CA 95207-8224
Ph: (209) 320-7610 |
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