Individual
MICHAEL J. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3 MORA VALLEY CLINIC RD, MORA, NM 87732-2202
(877) 271-2201
(575) 387-9006
Mailing address
PO BOX 209, MORA, NM 87732-0209
(877) 271-2201
(505) 387-9006
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2012-0040
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
92730329
—
NM
Enumeration date
09/18/2012
Last updated
05/07/2026
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