Miki Chu Lam Lee, RN, CDCES
Registered Nurse, Diabetes Educator in Irving, TX. Individual provider (NPI-1).
NPI number1417532276
StatusActive
Last updated in NPPESApr 23, 2024
Details
- NPI
- 1417532276
- Entity type
- Individual (NPI-1)
- Name
- Miki Chu Lam Lee
- Credential
- RN, CDCES
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 13, 2021
- Certification date
- Apr 23, 2024
- Last updated
- Apr 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WD0400X | Registered Nurse, Diabetes Educator | 267957 | AZ | Yes |
| 163WD0400X | Registered Nurse, Diabetes Educator | 041410077 | IL |
Practice location
3900 Teleport Blvd Unit 140063Irving, TX 75014-0017
Phone 312-933-0671
Mailing address
Po Box 140063Irving, TX 75014-0063
Phone 312-933-0761
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