Provider Demographics
NPI:1639627797
Name:LEE, ALANA (LPN)
Entity Type:Individual
Prefix:MRS
First Name:ALANA
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MS
Other - First Name:ALANA
Other - Middle Name:
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPN
Mailing Address - Street 1:8025 PARSONS BLVD APT A6
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-1034
Mailing Address - Country:US
Mailing Address - Phone:917-935-8292
Mailing Address - Fax:
Practice Address - Street 1:8025 PARSONS BLVD APT A6
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-1034
Practice Address - Country:US
Practice Address - Phone:917-935-8292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-19
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY10326189164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse