Provider Demographics
NPI:1073832317
Name:LEE, NOVA RENE
Entity Type:Individual
Prefix:MS
First Name:NOVA
Middle Name:RENE
Last Name:LEE
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 1:8820 CABOT DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-4535
Mailing Address - Country:US
Mailing Address - Phone:513-546-5822
Mailing Address - Fax:
Practice Address - Street 1:8820 CABOT DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-4535
Practice Address - Country:US
Practice Address - Phone:513-546-5822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-26
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide