Lee, Susan K

Lee, Susan K is an individual health care provider with primary practice located at 995 S Clarizz Blvd , Bloomington IN 47401-5588. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Lee, Susan K can be contacted via phone (812) 353-3060.

Contact Information

Primary practice address
995 S Clarizz Blvd Bloomington IN 47401-5588
Phone: (812) 353-3060
Fax: (812) 353-5228
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71000426A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71000426 Indiana

Profile Details

NPI number 1497750327
LBN Legal business name Lee, Susan K
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Aug 26th, 2022 - about 2 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 1497750327 NPPES
Indiana MEDICAID 200119700

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