MEDICARE: DR. CECILLIA LEE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	69854	AZ
2	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician	69854	AZ

General Provider Information

NPI Number	:	1043898695
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CECILLIA LEE MD

Provider Business Mailing Address
First Line	:	1501 N CAMPBELL AVE STE 7401
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85724-0001
Country	:	US
Telephone Number	:	520-694-0111
Fax Number	:	520-621-4131

Provider Business Practice Location Address
First Line	:	6860 E SUNRISE DR STE 100
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85750-0733
Country	:	US
Telephone Number	:	520-694-1042
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2021
Last Update Date	:	03/24/2026

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Directions to “ DR. CECILLIA LEE MD” Practice Location

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