JOHN K LEE MD NPI 1407885981

NPI Information

NPI: 1407885981
Provider Name: JOHN K LEE, MD
Classification: Radiology - 2085N0904X
Entity Type: Individual

Specialization: Nuclear Radiology

Address:
2845 GREENBRIER RD
GREEN BAY, WI
ZIP 54311
Phone: (920) 288-4930
Get Directions

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
1	2085N0904X	Radiology	Nuclear Radiology	35836	WISCONSIN	Yes

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
1	H76672	MEDICARE UPIN	WISCONSIN
2	017407650	MEDICARE ID-TYPE UNSPECIFIED	WISCONSIN
3	300136760	OTHER	WISCONSIN	RAILROAD
4	34296700	MEDICAID	WISCONSIN
5	104455760	MEDICAID	MICHIGAN

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: 4/28/2024

NPI Synchronization or Removal

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