Provider Demographics
NPI:1083765523
Name:ALEE, ROXANNE A (LAC)
Entity Type:Individual
Prefix:
First Name:ROXANNE
Middle Name:A
Last Name:ALEE
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:534 OAK ST
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95678-2621
Mailing Address - Country:US
Mailing Address - Phone:916-786-8100
Mailing Address - Fax:916-786-8105
Practice Address - Street 1:534 OAK ST
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95678-2621
Practice Address - Country:US
Practice Address - Phone:916-786-8100
Practice Address - Fax:916-786-8105
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7403171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist