| Ms Linda Lee I, FNP, PA | |
|
19021 Us Highway 285, La Jara, CO 81140-9410 | |
| (719) 274-5121 | |
| Not Available |
| Full Name | Ms Linda Lee I |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 19021 Us Highway 285, La Jara, Colorado |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447247655 | NPI | - | NPPES |
| 19054751 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 431047 (California) | Secondary |
| 363A00000X | Physician Assistant | 125926 (Colorado) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Linda Lee I, FNP, PA 19021 Us Highway 285, La Jara, CO 81140-9410 Ph: (719) 274-5121 | Ms Linda Lee I, FNP, PA 19021 Us Highway 285, La Jara, CO 81140-9410 Ph: (719) 274-5121 |
Brian Gene Jackson, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 509 Main Street, La Jara, CO 81140 Phone: 719-376-2308 Fax: 719-376-2395 |