Provider Demographics
NPI:1962251629
Name:LEE, FRIEDA
Entity type:Individual
Prefix:
First Name:FRIEDA
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:933 MOCKINGBIRD LN
Mailing Address - Street 2:
Mailing Address - City:LEEDS
Mailing Address - State:AL
Mailing Address - Zip Code:35094-1023
Mailing Address - Country:US
Mailing Address - Phone:205-914-3825
Mailing Address - Fax:
Practice Address - Street 1:933 MOCKINGBIRD LN
Practice Address - Street 2:
Practice Address - City:LEEDS
Practice Address - State:AL
Practice Address - Zip Code:35094-1023
Practice Address - Country:US
Practice Address - Phone:205-914-3825
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-15
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider