Lee, Ta Ya
Lee, Ta Ya is an individual health care provider with primary practice located at 2360 W Joppa Rd Ste 306 , Lutherville MD 21093. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Lee, Ta Ya can be contacted via phone (410) 847-3535.Contact Information
Primary practice address
2360 W Joppa Rd Ste 306
Lutherville MD 21093
Phone: (410) 847-3535
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | R123476 | Maryland |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | R123476 | Maryland |
Profile Details
| NPI number | 1497843783 |
|---|---|
| LBN Legal business name | Lee, Ta Ya |
| Credentials | MSN NPC CRNP LAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2006 |
| Last updated | May 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497843783 | NPPES |
| Maryland | MEDICAID | 002210100 |
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