Individual
LEE MICHAEL ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD179851
OR
207R00000X
Internal Medicine Physician
PG168174
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500717033
—
OR
Enumeration date
05/22/2014
Last updated
10/20/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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