Provider Demographics
NPI:1720072341
Name:LEE, APRIL W (DC)
Entity Type:Individual
Prefix:DR
First Name:APRIL
Middle Name:W
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 1:60 2ND ST UNIT C-7
Mailing Address - Street 2:
Mailing Address - City:SHALIMAR
Mailing Address - State:FL
Mailing Address - Zip Code:32579-1769
Mailing Address - Country:US
Mailing Address - Phone:850-613-4125
Mailing Address - Fax:850-613-4148
Practice Address - Street 1:60 2ND ST UNIT C-7
Practice Address - Street 2:
Practice Address - City:SHALIMAR
Practice Address - State:FL
Practice Address - Zip Code:32579-1769
Practice Address - Country:US
Practice Address - Phone:850-613-4125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-09
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC29554111N00000X
FLCH9247111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL29554Medicare UPIN