Provider Demographics
NPI:1902420730
Name:LEE, AISHA AMIRA
Entity Type:Individual
Prefix:
First Name:AISHA
Middle Name:AMIRA
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 1:200 Q ST NE APT 2227
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-2389
Mailing Address - Country:US
Mailing Address - Phone:202-304-8895
Mailing Address - Fax:
Practice Address - Street 1:200 Q ST NE APT 2227
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-2389
Practice Address - Country:US
Practice Address - Phone:202-304-8895
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-08
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant