NPIMap

Organization Active NPI

Lee Professional Services, PLLC

  • Electrodiagnostic Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1164935722
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X
License
10503 Issued in NV
Legal business name
LEE PROFESSIONAL SERVICES, PLLC
Practice address
15 Hawk Ridge Dr
Las Vegas, NV 89135-7864
Phone
(800) 310-7334
NPI assigned
Nov 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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

Authorized official

Name
Daniel Lee, MD
Title
Managing Member
Phone
(800) 310-7334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electrodiagnostic Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 204R00000X 10503 NV Primary

Addresses

Primary practice location

15 Hawk Ridge Dr
Las Vegas, NV 89135-7864

Mailing address

Dept # 880229, PO Box 29650
Phoenix, AZ 85038-9650
Phone (800) 310-7334

Other identifiers 1

IdentifierTypeStateIssuer
10503OtherNVMEDICAL LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554854400000",
    "number": "1164935722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT # 880229, PO BOX 29650",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389650",
            "telephone_number": "800-310-7334",
            "fax_number": "469-453-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 HAWK RIDGE DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891357864",
            "telephone_number": "800-310-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE PROFESSIONAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-06",
        "last_updated": "2019-04-10",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "800-310-7334",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": "NV",
            "license": "10503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "10503",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.