Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEE SELF, MD
Active Sole ProprietorLEE SELF, MD is a Gynecology healthcare provider located in EMMETT, Idaho. NPI 1639121361 is currently active in the NPPES registry. Verify at CMS.
Gynecology · EMMETT, ID
Registration Details
- NPI Number
- 1639121361
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 17, 2006 (20.243167854687 yrs)
- Last Updated
- Nov 12, 2023
- Licenses
-
M7844 (ID)M7844 (ID)M7844 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2020 S JOHNS AVE STE BEMMETT, ID, 836179410Browse ID providers · Browse ZIP 83617
- Phone
- 2084257507
- Fax
- 2085419341
- Primary Specialty
-
Gynecology
207VG0400X
- Additional Specialty
- Obstetrics
- Additional Specialty
- Gynecology
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.