Provider Demographics
NPI:1649384462
Name:LEE, APRIL MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:APRIL
Middle Name:MARIE
Last Name:LEE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3667 BAHIA VISTA STREET
Mailing Address - Street 2:SUITE A
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-2407
Mailing Address - Country:US
Mailing Address - Phone:941-927-5913
Mailing Address - Fax:941-927-5914
Practice Address - Street 1:3667 BAHIA VISTA STREET
Practice Address - Street 2:SUITE A
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-2407
Practice Address - Country:US
Practice Address - Phone:941-927-5913
Practice Address - Fax:941-927-5914
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7954111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL70201AMedicare ID - Type Unspecified