Most Relevant Information
Provider Data
| NPI Number: | 1003489493 |
| Provider Name: | DELAINY LEE |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/22/2021 |
| Last Updated: | 10/26/2023 |
Provider Practice Location
619 19TH ST S
BIRMINGHAM
AL
352331900
Practice Location Phone/Fax
| Phone: | 2057319701 |
| Fax: |
Provider Mailing Location
PO BOX 55310
BIRMINGHAM
AL
352555310
Provider Mailing Phone/Fax
| Phone: | 2057319701 |
| Fax: |