Individual
DR. MICHAEL LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8512 CADBURY CT, PLANO, TX 75024-6822
(708) 829-4501
Mailing address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-1975
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
206767
LA
207Q00000X
Family Medicine Physician
29762
OK
207Q00000X
Family Medicine Physician
48481
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417161886
—
MN
Enumeration date
05/09/2007
Last updated
12/30/2015
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