Provider Demographics
NPI:1205411774
Name:LEE & PICKELS CONSULTING, LLC
Entity Type:Organization
Organization Name:LEE & PICKELS CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:MARASCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-251-4398
Mailing Address - Street 1:302 E SCREVEN ST
Mailing Address - Street 2:
Mailing Address - City:QUITMAN
Mailing Address - State:GA
Mailing Address - Zip Code:31643-2178
Mailing Address - Country:US
Mailing Address - Phone:229-251-4398
Mailing Address - Fax:229-263-4443
Practice Address - Street 1:302 E SCREVEN ST
Practice Address - Street 2:
Practice Address - City:QUITMAN
Practice Address - State:GA
Practice Address - Zip Code:31643-2178
Practice Address - Country:US
Practice Address - Phone:229-251-4398
Practice Address - Fax:229-263-4443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-16
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty