| J.p. Lee, Llc | |
|
425 N Oak St North Platte NE 69101-3764 | |
| (308) 532-8300 | |
| (308) 532-4629 |
| Full Name | J.p. Lee, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 425 N Oak St, North Platte, Nebraska |
| Authorized Official Name and Position | Wendy L Hageman (PROVISIONAL) |
| Authorized Official Contact | 3085328300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J.p. Lee, Llc 425 N Oak St North Platte NE 69101-3764 Ph: (308) 532-8300 | J.p. Lee, Llc 425 N Oak St North Platte NE 69101-3764 Ph: (308) 532-8300 |
| NPI Number | 1528496767 |
|---|---|
| Provider Enumeration Date | 10/25/2013 |
| Last Update Date | 10/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528496767 | NPI | - | NPPES |
| 100253495-00 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 10101 (Nebraska) | Primary |
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