| Sukje Lee, | |
|
2600 W Pleasant Run Rd, Lancaster, TX 75146-1114 | |
| (972) 230-8888 | |
| Not Available |
| Full Name | Sukje Lee |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 2600 W Pleasant Run Rd, Lancaster, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376178913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 11-05222 (Kansas) | Primary |
| Provider Name | Meredith S. Tittle, P.t., Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1245553395 PECOS PAC ID: 9830491596 Enrollment ID: O20170321001966 |
| Mailing Address | Practice Location Address |
|---|---|
| Sukje Lee, 2600 W Pleasant Run Rd, Lancaster, TX 75146-1114 Ph: (972) 230-8888 | Sukje Lee, 2600 W Pleasant Run Rd, Lancaster, TX 75146-1114 Ph: (972) 230-8888 |
Karen D Moreland, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 721 Oakbluff Dr, Lancaster, TX 75146 Phone: 405-250-9699 | |
Himanshu Kaushik, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2600 W Pleasant Run Rd, Lancaster, TX 75146 Phone: 972-230-8888 | |
Bhavya Ashish Thakkar, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2700 W Pleasant Run Rd, Lancaster, TX 75146 Phone: 469-545-7213 |