Healthcare Provider Details

I. General information

NPI: 1295901312
Provider Name (Legal Business Name): SEAN MICHAEL LEE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2008
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3909 ARCTIC BLVD STE 101
ANCHORAGE AK
99503-5769
US

IV. Provider business mailing address

3909 ARCTIC BLVD STE 101
ANCHORAGE AK
99503-5769
US

V. Phone/Fax

Practice location:
  • Phone: 907-644-8446
  • Fax: 907-644-8448
Mailing address:
  • Phone: 907-644-8446
  • Fax: 907-644-8448

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number113800
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: