Individual provider · Type 1 NPI

Stacey Lee

Driver · Colton, CA

NPI number 1063172120 Active · reactivated Jan 13, 2022

Practice location

1800 E Old Ranch Rd Apt 126
Colton, CA 92324-6464

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XNone listed

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

Another provider at this address

About NPI 1063172120

Stacey Lee's National Provider Identifier is 1063172120, issued on Dec 29, 2021. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Colton, CA. The record was last updated on Jan 13, 2022.