Provider Demographics
NPI:1962234336
Name:DECKER-LEE, WILLA CHANDRA
Entity type:Individual
Prefix:
First Name:WILLA
Middle Name:CHANDRA
Last Name:DECKER-LEE
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:372 HINMAN RD
Mailing Address - Street 2:
Mailing Address - City:CORTLAND
Mailing Address - State:NY
Mailing Address - Zip Code:13045-8923
Mailing Address - Country:US
Mailing Address - Phone:718-309-0613
Mailing Address - Fax:
Practice Address - Street 1:537 W KING ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-3606
Practice Address - Country:US
Practice Address - Phone:718-309-0613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-15
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula