Individual provider Active NPI

Michael A Lee, D.O.

  • Family Medicine Physician
  • Durant, OK
National Provider Identifier
1124020193
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2100 Issued in OK
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

Updated by the provider on Dec 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
2100OKMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Home Reach Mobile Wound Care Clinic, PLLC Family Medicine CurrentSince Apr 1, 2025 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.

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.

Verify at the official NPI Registry.