Provider Demographics
NPI:1659172328
Name:LEE, MILLENIA I
Entity type:Individual
Prefix:
First Name:MILLENIA
Middle Name:I
Last Name:LEE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 S MARKET ST
Mailing Address - Street 2:
Mailing Address - City:BRADY
Mailing Address - State:NE
Mailing Address - Zip Code:69123-2709
Mailing Address - Country:US
Mailing Address - Phone:308-660-3101
Mailing Address - Fax:308-660-3101
Practice Address - Street 1:107 E RIVER ST
Practice Address - Street 2:
Practice Address - City:BRADY
Practice Address - State:NE
Practice Address - Zip Code:69123-2721
Practice Address - Country:US
Practice Address - Phone:308-660-4835
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider