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NPI Code Detail

MEDICARE: DR. KATIE CHRISTINE LEE M.D.

MEDICARE: DR. KATIE CHRISTINE 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
1207V00000XObstetrics & Gynecology Physician55883AZ
2207V00000XObstetrics & Gynecology PhysicianMT207612PA

General Provider Information

NPI Number : 1801290457
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATIE CHRISTINE LEE M.D.
Provider Business Mailing Address
First Line : 3033 N CENTRAL AVE STE 145
Second Line :
City : PHOENIX
State : AZ
Zip : 85012-2808
Country : US
Telephone Number : 623-583-3001
Fax Number : 623-974-6721
Provider Business Practice Location Address
First Line : 9610 N METRO PKWY W
Second Line :
City : PHOENIX
State : AZ
Zip : 85051-1402
Country : US
Telephone Number : 480-964-2273
Fax Number : 28-431-5606
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2014
Last Update Date : 04/28/2024

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