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NPI Code Detail

MEDICARE: MICHELLE LEE MD

MEDICARE:   MICHELLE  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
1207Q00000XFamily Medicine PhysicianL8109TX

General Provider Information

NPI Number : 1568559318
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE LEE MD
Provider Business Mailing Address
First Line : 4113 AVENUE B
Second Line :
City : AUSTIN
State : TX
Zip : 78751-4219
Country : US
Telephone Number : 510-882-5463
Fax Number :
Provider Business Practice Location Address
First Line : 4113 AVENUE B BLDG 2
Second Line :
City : AUSTIN
State : TX
Zip : 78751-4219
Country : US
Telephone Number : 512-550-0757
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2006
Last Update Date : 02/09/2024

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Directions to “ MICHELLE LEE MD” Practice Location

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