Lee, Diana Dantian

Lee, Diana Dantian is an individual health care provider with primary practice located at 10624 S Eastern Ave Ste A-955 , Henderson NV 89052-2982. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Lee, Diana Dantian can be contacted via phone (702) 407-7700.

Contact Information

Primary practice address
10624 S Eastern Ave Ste A-955 Henderson NV 89052-2982
Phone: (702) 407-7700
Fax: (702) 407-7016
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X A85417 California
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 15282 Nevada

Profile Details

NPI number 1124125232
LBN Legal business name Lee, Diana Dantian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated May 2nd, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124125232 NPPES
California Other 1918273 GREAT WEST
California Other 111371 GREAT WEST
California Other 5632785 GREAT WEST
California Other 253808 GREAT WEST
California Other 7394657 GREAT WEST
California Other A85417 GREAT WEST
California Other MCMG413400 GREAT WEST
California Other 2547985 GREAT WEST
California Other 90197387 GREAT WEST
California Other 0884006 GREAT WEST

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