Healthcare Provider Details

I. General information

NPI: 1396062386
Provider Name (Legal Business Name): MICHAELA H LEE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2010
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 E CAMELBACK RD STE 255
PHOENIX AZ
85018-2390
US

IV. Provider business mailing address

3333 E CAMELBACK RD STE 255
PHOENIX AZ
85018-2390
US

V. Phone/Fax

Practice location:
  • Phone: 602-456-4355
  • Fax: 480-463-5949
Mailing address:
  • Phone: 602-456-4355
  • Fax: 480-463-5949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number53573
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: