JOHN K LEE MD NPI 1407885981

NPI Information

  • NPI: 1407885981
  • Provider Name: JOHN K LEE, MD
  • Classification: Radiology - 2085N0904X
  • Specialization: Nuclear Radiology
  • Entity Type: Individual
  • Address: 2845 GREENBRIER RD
    GREEN BAY, WI
    ZIP 54311
  • Phone: (920) 288-4930

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NPI Details

John K Lee, MD is a nuclear radiology radiology in Green Bay, WI. The provider is a radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. John K Lee, MD NPI is 1407885981. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2845 GREENBRIER RD
GREEN BAY, WI
ZIP 54311-519
Phone: (920) 288-4930
Fax: (920) 288-4941

The enumeration date for this NPI number is 6/30/2006 and was last updated on 10/16/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085N0904XRadiologyNuclear Radiology35836WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H76672MEDICARE UPINWISCONSIN
2017407650MEDICARE ID-TYPE UNSPECIFIEDWISCONSIN
3300136760OTHERWISCONSINRAILROAD
434296700MEDICAIDWISCONSIN
5104455760MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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