Provider Demographics
NPI:1396388534
Name:LEE, REBECCA ANN (RCS)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:ANN
Last Name:LEE
Suffix:
Gender:F
Credentials:RCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6489 LUCERNE CT
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-5054
Mailing Address - Country:US
Mailing Address - Phone:530-244-3090
Mailing Address - Fax:
Practice Address - Street 1:6489 LUCERNE CT
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-5054
Practice Address - Country:US
Practice Address - Phone:530-244-3090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-21
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider