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JONATHAN LEE
NPI 1174057657
Student in an Organized Health Care Education/Training Program in Moscow, ID

Active since April 12, 2017
1310 W A ST, 102, MOSCOW, ID 83843(818) 331-5990 Get Directions Write a Review

NPPES record last updated: April 12, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jonathan Lee NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN LEE (NPI 1174057657) is an individual student in an organized health care education/training program in Moscow, Idaho and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1174057657
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJONATHAN LEE
Location Address1310 W A ST, 102Moscow, ID 83843-4035
Mailing Address1310 W A St, 102Moscow, ID 83843-4035 · (818) 331-5990
Phone(818) 331-5990
Sole ProprietorYes
Enumeration DateApril 12, 2017
✔ NPI 1174057657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
1310 W A ST, Moscow, ID 83843
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Lee's NPI number?

The NPI number for Jonathan Lee is 1174057657. It was assigned to this individual provider in the NPPES registry on April 12, 2017.

Where is Jonathan Lee located?

Jonathan Lee practices at 1310 W A St 102, Moscow, ID 83843. The listed phone number is (818) 331-5990.

What is Jonathan Lee's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jonathan Lee was last updated on April 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.