Healthcare Provider Details

I. General information

NPI: 1699971465
Provider Name (Legal Business Name): STEVE CHUN-YU LEE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2007
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 SMART PL
SLIDELL LA
70458-2040
US

IV. Provider business mailing address

PO BOX 8652
MANDEVILLE LA
70470-8652
US

V. Phone/Fax

Practice location:
  • Phone: 504-270-1930
  • Fax: 985-545-2023
Mailing address:
  • Phone: 504-270-1930
  • Fax: 985-545-2023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD206599
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberMD206599
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: