Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TANJA LATISHA LEE
Active Sole ProprietorTANJA LATISHA LEE is a Prosthetic/Orthotic Supplier healthcare provider located in BURGAW, North Carolina. NPI 1063393734 is currently active in the NPPES registry. Verify at CMS.
Prosthetic/Orthotic Supplier · BURGAW, NC
Registration Details
- NPI Number
- 1063393734
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 10, 2025 (0.96203228110788 yrs)
- Last Updated
- Sep 10, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
3135 NC HIGHWAY 53 EBURGAW, NC, 284253846Browse NC providers · Browse ZIP 28425
- Phone
- 9103170274
- Primary Specialty
-
Prosthetic/Orthotic Supplier
335E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.