Provider Demographics
NPI:1922833987
Name:LEE, MELISSA
Entity type:Individual
Prefix:MISS
First Name:MELISSA
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 FAIRWAY RD APT 3D
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-5656
Mailing Address - Country:US
Mailing Address - Phone:302-932-8304
Mailing Address - Fax:
Practice Address - Street 1:37 FAIRWAY RD APT 3D
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-5656
Practice Address - Country:US
Practice Address - Phone:302-932-8304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-07
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula