Provider Demographics
NPI:1427126887
Name:LEE, CYNTHIA LEAH (RPH, PHD)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:LEAH
Last Name:LEE
Suffix:
Gender:F
Credentials:RPH, PHD
Other - Prefix:DR
Other - First Name:CYNTHIA
Other - Middle Name:LEAH
Other - Last Name:LEE-ZIEGLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH, PHD
Mailing Address - Street 1:8723 PRINCE HTS
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78254-2311
Mailing Address - Country:US
Mailing Address - Phone:210-520-3989
Mailing Address - Fax:210-292-3722
Practice Address - Street 1:8723 PRINCE HTS
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78254-2311
Practice Address - Country:US
Practice Address - Phone:210-520-3989
Practice Address - Fax:210-292-3722
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30042183500000X
MI24118183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist