Lee, Hisoon A

Lee, Hisoon A is an sole proprietor health care provider with primary practice located at 21298 Olean Blvd , Port Charlotte FL 33952-6705. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Lee, Hisoon A can be contacted via phone (941) 629-1181.

Contact Information

Primary practice address
21298 Olean Blvd Port Charlotte FL 33952-6705
Phone: (941) 629-1181
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X ARNP1654692 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN1654692 Florida

Profile Details

NPI number 1801823851
LBN Legal business name Lee, Hisoon A
Credentials CRNA ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2006
Last updated Dec 13th, 2011 - about 13 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 1801823851 NPPES
Florida MEDICAID 304661300
Florida Other 1654692

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