Active NPI
Michael A Lee, D.O.
- Family Medicine Physician
- Durant, OK
National Provider Identifier
1124020193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2100
- Practice address
- 1708 Delivery Lane
Durant, OK 74701-3016 - Phone
- (580) 924-5622
- Fax
- (580) 745-5060
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2100 | OK | Primary |
Addresses
Primary practice location
1708 Delivery Lane
Durant, OK 74701-3016
Mailing address
1708 Delivery LN
Durant, OK 74701-2292
Phone (580) 924-5622
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2100 | OK | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Home Reach Mobile Wound Care Clinic, PLLC | Family Medicine | Current | Accepting new patients |
| Lee Family Clinic Inc | Family Medicine | Current | Accepting new patients |
| Lee Family Clinic | Current | Accepting new patients | |
| Neon Clinic Inc | Past | Accepting new patients | |
| Texas Emergency Room Services, PA | Past | Accepting new patients | |
| Bonham Emergency Medicine LLC | Family Medicine | Past | Accepting new patients |
Locations
1708 Delivery Ln
Durant, OK 74701
Phone (580) 924-5622
1610 W University Blvd
Durant, OK 74701
Phone (580) 924-3400
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Durant, OK
- NPI 1295854180
-
- Family Medicine Physician
- Sherman, TX
- NPI 1629807375
Family Medicine
-
- Specialist
- Durant, OK
- NPI 1720033087
-
- Family Medicine Physician
- Belleville, IL
- NPI 1861654774
Family Medicine
-
- Emergency Medicine Physician
- Bonham, TX
- NPI 1578513503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767139200000",
"number": "1124020193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1708 DELIVERY LN",
"city": "DURANT",
"state": "OK",
"postal_code": "747012292",
"telephone_number": "580-924-5622",
"fax_number": "580-745-5060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1708 DELIVERY LANE",
"city": "DURANT",
"state": "OK",
"postal_code": "747013016",
"telephone_number": "580-924-5622",
"fax_number": "580-745-5060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "MICHAEL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2025-12-31",
"certification_date": "2025-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "2100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durant, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.