Lee Memorial Health System

NPI #1366179806 in Lehigh Acres, Florida

Provider Information

NPI Number
1366179806
Entity Type
Organization
Organization Name
Lee Memorial Health System
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Aug 4, 2022
Last Updated
Jul 24, 2024

Practice Location

Address
3415 LEE BLVD STE 301
State
Florida
ZIP Code
33971-1576
Phone
(239) 343-6050

Authorized Official

Name
JOSEPH NIEBERGALL
Title
CREDENTIALING SPECIALIST
Phone
(239) 424-1446

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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