MEDICARE: YVONNE LEE MD

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	207RR0500X	Rheumatology Physician	A157219	CA
2	207RR0500X	Rheumatology Physician	22813	NV

General Provider Information

NPI Number	:	1891224168
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YVONNE LEE MD

Provider Business Mailing Address
First Line	:	450 E SILVERADO RANCH BLVD STE 120
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89183-6207
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1346 S DECATUR BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-8510
Country	:	US
Telephone Number	:	702-509-7989
Fax Number	:

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

Provider Enumeration Date	:	06/08/2017
Last Update Date	:	06/05/2023

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