Provider Demographics
NPI:1629878020
Name:LEXA, LEE
Entity type:Individual
Prefix:
First Name:LEE
Middle Name:
Last Name:LEXA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 HAWKINS AVE
Mailing Address - Street 2:
Mailing Address - City:BRADDOCK
Mailing Address - State:PA
Mailing Address - Zip Code:15104-2117
Mailing Address - Country:US
Mailing Address - Phone:412-554-3991
Mailing Address - Fax:
Practice Address - Street 1:224 HAWKINS AVE
Practice Address - Street 2:
Practice Address - City:BRADDOCK
Practice Address - State:PA
Practice Address - Zip Code:15104-2117
Practice Address - Country:US
Practice Address - Phone:412-554-3991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-14
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician