Provider Demographics
NPI:1326375551
Name:LEE, SAMANTHA B (NP)
Entity Type:Individual
Prefix:MS
First Name:SAMANTHA
Middle Name:B
Last Name:LEE
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Gender:F
Credentials:NP
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Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:DEPARTMENT OF PEDIATRIC ALLERGY AND PULMONARY
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-356-2397
Mailing Address - Fax:319-356-7171
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:DEPARTMENT OF PEDIATRIC ALLERGY AND PULMONARY
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-356-2397
Practice Address - Fax:319-356-7171
Is Sole Proprietor?:No
Enumeration Date:2009-11-09
Last Update Date:2014-01-24
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Provider Licenses
StateLicense IDTaxonomies
IAC135620363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics