Provider Demographics
NPI:1114291978
Name:ZEITLIN, LEE ALEXANDER (AP)
Entity Type:Individual
Prefix:
First Name:LEE
Middle Name:ALEXANDER
Last Name:ZEITLIN
Suffix:
Gender:M
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2074 NW 11TH RD
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-5244
Mailing Address - Country:US
Mailing Address - Phone:352-328-8223
Mailing Address - Fax:352-336-9517
Practice Address - Street 1:2074 NW 11TH RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-5244
Practice Address - Country:US
Practice Address - Phone:352-328-8223
Practice Address - Fax:352-336-9517
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-26
Last Update Date:2012-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 880171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist