MEDICARE: LEE PROFESSIONAL SERVICES, PLLC

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	204R00000X	Electrodiagnostic Medicine Physician	10503	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10503	OTHER	NV	MEDICAL LICENSE

General Provider Information

NPI Number	:	1164935722
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEE PROFESSIONAL SERVICES, PLLC

Provider Business Mailing Address
First Line	:	DEPT # 880229, PO BOX 29650
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85038-9650
Country	:	US
Telephone Number	:	800-310-7334
Fax Number	:	469-453-3374

Provider Business Practice Location Address
First Line	:	15 HAWK RIDGE DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-7864
Country	:	US
Telephone Number	:	800-310-7334
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	DANIEL LEE
Credential	:	MD
Telephone Number	:	800-310-7334

Provider Enumeration Date	:	11/06/2017
Last Update Date	:	04/10/2019

Similar Medicare Providers

1083209654 — MOUNTAIN RADIOLOGY, INC
Practice Location Address:

9 HAWK RIDGE DR
LAS VEGAS, NV
89135-7864

Practice Phone: 970-945-7564
Practice Fax:

1003104696 — CYNTHIA EWELL
Practice Location Address:

3605 MOUNTAIN CREST ST
LAS VEGAS, NV
89129-7864

Practice Phone: 702-243-0477
Practice Fax:

1033453451 — DEJUAN COSBY
Practice Location Address:

3605 MOUNTAIN CREST ST
LAS VEGAS, NV
89129-7864

Practice Phone: 219-789-4080
Practice Fax:

1730510355 — ADRINE DUNCAN
Practice Location Address:

3515 ROSE CANYON DR
NORTH LAS VEGAS, NV
89032-7864

Practice Phone: 702-306-4672
Practice Fax:

1588370787 — SHARPE SERVICES, LLC
Practice Location Address:

7864 APACHE CLIFF ST
LAS VEGAS, NV
89113-3010

Practice Phone: 702-325-5355
Practice Fax:

1780523795 — STEFFIANNA VICTORIA SORRENTINO
Practice Location Address:

11018 HORIZON EDGE DR
LAS VEGAS, NV
89135-9125

Practice Phone: 702-300-6752
Practice Fax:

Directions to “LEE PROFESSIONAL SERVICES, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.