| Dr Requita Marie Demery Lee, MD | |
|
9930 Kincey Ave Ste 100, Huntersville, NC 28078-6541 | |
| (855) 501-1004 | |
| Not Available |
| Full Name | Dr Requita Marie Demery Lee |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 9930 Kincey Ave Ste 100, Huntersville, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376071589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2021-01120 (North Carolina) | Primary |
| Entity Name | Animo Sano Psychiatry Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568043537 PECOS PAC ID: 8729489182 Enrollment ID: O20210623002788 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Requita Marie Demery Lee, MD 3835 N Freeway Blvd Ste 100, Sacramento, CA 95834-1954 Ph: () - | Dr Requita Marie Demery Lee, MD 9930 Kincey Ave Ste 100, Huntersville, NC 28078-6541 Ph: (855) 501-1004 |
Michael Scott Clark, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 13815 Professional Center Dr Ste 100, Huntersville, NC 28078 Phone: 704-384-1320 | |
Francois Jacques Leopold Picot, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 16645 Birkdale Commons Pkwy, Ste 200d, Huntersville, NC 28078 Phone: 704-801-1440 | |
Christopher Daniel Fox, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 9930 Kincey Ave Ste 100, Huntersville, NC 28078 Phone: 704-326-7485 | |
Dr. Heather Anne Laughridge, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 13815 Professional Center Dr Ste 100, Huntersville, NC 28078 Phone: 704-384-1320 Fax: 704-316-3138 | |
Sonal Gagrani, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 16645 Birkdale Commons Pkwy Ste 200-d, Huntersville, NC 28078 Phone: 704-801-1440 | |
Dr. Michael Ira Turk, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 13815 Professional Center Dr Ste 100, Huntersville, NC 28078 Phone: 704-384-1320 Fax: 704-316-3138 |