Individual provider · Type 1 NPI

Jonathan Lee

Student in an Organized Health Care Education/Training Program · Moscow, ID

NPI number 1174057657 Active

Practice location

1310 W A St, 102
Moscow, ID 83843-4035

Call (818) 331-5990 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1174057657

Jonathan Lee's National Provider Identifier is 1174057657, issued on Apr 12, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Moscow, ID. The record was last updated on Apr 12, 2017.