Ms Lori C Lee, PT | |
3 Navarre Street, Thoreau, NM 87323 | |
(505) 786-5291 | |
(505) 786-6440 |
Full Name | Ms Lori C Lee |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 3 Navarre Street, Thoreau, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740210293 | NPI | - | NPPES |
41174208 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2966 (New Mexico) | Primary |
Provider Name | Santa Fe Indian Hospital |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1285613836 PECOS PAC ID: 7719883289 Enrollment ID: O20031208000627 |
Provider Name | Watonga Indian Health Center |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558458794 PECOS PAC ID: 9032010111 Enrollment ID: O20040120001001 |
Provider Name | El Reno Indian Health Center |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1386725604 PECOS PAC ID: 5193627263 Enrollment ID: O20040121000487 |
Provider Name | Clinton Indian Health Center |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1205923448 PECOS PAC ID: 2163324237 Enrollment ID: O20040121000506 |
Provider Name | Santa Clara Health Center |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1043396377 PECOS PAC ID: 4981591922 Enrollment ID: O20040303000820 |
Mailing Address | Practice Location Address |
---|---|
Ms Lori C Lee, PT Po Box 358, Crownpoint, NM 87313-0358 Ph: (505) 786-5291 | Ms Lori C Lee, PT 3 Navarre Street, Thoreau, NM 87323 Ph: (505) 786-5291 |