| Daniel W Lee Md Pc | |
|
1044 Sw 44th St Suite 410 Oklahoma City OK 73109-3613 | |
| (405) 635-1011 | |
| (405) 635-1013 |
| Full Name | Daniel W Lee Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1044 Sw 44th St, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Daniel W Lee (PRESIDENT) |
| Authorized Official Contact | 4056351011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel W Lee Md Pc Po Box 269084 Oklahoma City OK 73126-9084 Ph: (405) 418-4506 | Daniel W Lee Md Pc 1044 Sw 44th St Suite 410 Oklahoma City OK 73109-3613 Ph: (405) 635-1011 |
| NPI Number | 1730349259 |
|---|---|
| Provider Enumeration Date | 06/10/2008 |
| Last Update Date | 02/14/2011 |
| Medicare PECOS PAC ID | 0042372765 |
|---|---|
| Medicare Enrollment ID | O20081215000267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730349259 | NPI | - | NPPES |
| P00665699 | Other | OK | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 23237 (Oklahoma) | Primary |
| Provider Name | Daniel W Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336124056 PECOS PAC ID: 4880505486 Enrollment ID: I20050524000417 |
| Provider Name | Michelle R Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174975023 PECOS PAC ID: 2860772894 Enrollment ID: I20161209000812 |
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