MEDICARE: HENRY LEE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	28563	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548224447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HENRY LEE M.D.

Provider Business Mailing Address
First Line	:	1760 E. RIVER RD
Second Line	:	350
City	:	TUCSON
State	:	AZ
Zip	:	85718
Country	:	US
Telephone Number	:	520-519-7775
Fax Number	:	520-519-7910

Provider Business Practice Location Address
First Line	:	19646 N 27TH AVE STE 406
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85027-4028
Country	:	US
Telephone Number	:	623-587-4868
Fax Number	:	623-582-5300

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2006
Last Update Date	:	03/07/2018

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Directions to “ HENRY LEE M.D.” Practice Location

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