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1588625156 NPI number — JEFFREY L. LEE MD

NPI Number: 1588625156
Health Care Provider/Practitioner: JEFFREY L. LEE MD

Information about “1588625156” NPI (JEFFREY L. LEE MD) exists in 1588625156 in HTML format HTML  |  1588625156 in plain Text format TXT  |  1588625156 in PDF (Portable Document Format) PDF  |  1588625156 in an XML format XML  formats.

NPI Number : 1588625156 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588625156",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LEE",
    "FirstName": "JEFFREY",
    "MiddleName": "L.",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LEE",
    "OtherFirstName": "JEFFREY",
    "OtherMiddleName": "L.",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "2695 ROCKY MOUNTAIN AVE STE 150",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOVELAND",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80538-9071",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "970-624-4034",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5623 PULPIT PEAK VW",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COLORADO SPRINGS",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80918-3954",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "193-651-2927",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/31/2006",
    "LastUpdateDate": "08/17/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "34176",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208M00000X",
          "TaxonomyName": "Hospitalist Physician",
          "LicenseNumber": "DR.0034176",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "DR.0034176",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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