Provider Demographics
NPI:1902466345
Name:LEE PRIMARY CARE CLINICS, PLLC
Entity Type:Organization
Organization Name:LEE PRIMARY CARE CLINICS, PLLC
Other - Org Name:ZEN PRIMARY CARE CLINICS, PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUZETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:PROFIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-828-5596
Mailing Address - Street 1:10016 SUMMIT CANYON DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89144-4333
Mailing Address - Country:US
Mailing Address - Phone:702-245-6979
Mailing Address - Fax:702-947-4757
Practice Address - Street 1:8530 W SUNSET RD STE 230
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-2245
Practice Address - Country:US
Practice Address - Phone:702-245-6979
Practice Address - Fax:702-947-4757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-18
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care