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
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | None 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.