Healthcare Provider Details

I. General information

NPI: 1073711974
Provider Name (Legal Business Name): JAMES MICHAEL LEE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2007
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

799 FARSON ST STE 101
BELPRE OH
45714-1082
US

IV. Provider business mailing address

PO BOX 247036
OMAHA NE
68124-7036
US

V. Phone/Fax

Practice location:
  • Phone: 740-423-3225
  • Fax: 740-423-3239
Mailing address:
  • Phone: 402-955-5421
  • Fax: 402-955-6850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License Number35.093657
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: