MEDICARE: DR. MAUREEN LEE M.D.

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	207V00000X	Obstetrics & Gynecology Physician	40335	AZ
2	207VM0101X	Maternal & Fetal Medicine Physician	40335	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	40335	OTHER	AZ	MEDICAL LICENSE

General Provider Information

NPI Number	:	1124131248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAUREEN LEE M.D.

Provider Business Mailing Address
First Line	:	3530 S VAL VISTA DR STE 207
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85297-7322
Country	:	US
Telephone Number	:	480-656-0357
Fax Number	:	480-656-0088

Provider Business Practice Location Address
First Line	:	3530 S VAL VISTA DR STE 207
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85297-7322
Country	:	US
Telephone Number	:	480-656-0357
Fax Number	:	480-656-0088

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

Provider Enumeration Date	:	08/15/2006
Last Update Date	:	06/04/2025

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