| Korinne Lee, FNP | |
|
14780 W Mountain View Blvd Ste 120, Surprise, AZ 85374-7280 | |
| (623) 215-9460 | |
| (623) 282-3576 |
| Full Name | Korinne Lee |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 14780 W Mountain View Blvd Ste 120, Surprise, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790306744 | NPI | - | NPPES |
| 1790306744 | Other | AZ | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 240576 (Arizona) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 240576 (Arizona) | Primary |
| Entity Name | City of Hope Medical Group of Arizona LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609026806 PECOS PAC ID: 2264593474 Enrollment ID: O20081205000793 |
| Entity Name | West Valley Endocrinology Diabetes and Metabolism Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245758051 PECOS PAC ID: 0244596682 Enrollment ID: O20180131000447 |
| Mailing Address | Practice Location Address |
|---|---|
| Korinne Lee, FNP 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 Ph: (623) 466-4073 | Korinne Lee, FNP 14780 W Mountain View Blvd Ste 120, Surprise, AZ 85374-7280 Ph: (623) 215-9460 |