Provider Demographics
NPI:1013206234
Name:LEE-CARLEY, JULIANNE
Entity Type:Individual
Prefix:MRS
First Name:JULIANNE
Middle Name:
Last Name:LEE-CARLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 COURTRIGHT LN
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14624-2237
Mailing Address - Country:US
Mailing Address - Phone:585-503-4417
Mailing Address - Fax:
Practice Address - Street 1:30 COURTRIGHT LN
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14624-2237
Practice Address - Country:US
Practice Address - Phone:585-503-4417
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-29
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY208361-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse