Lisa Sung Eun Lee, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI02871300 Issued in NJ

Practice address

6900 Alden Drive
Fe Warren Afb, WY 82005

Phone

(307) 773-6248

Fax

(307) 773-4589

NPI assigned

Jul 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Dod Fe Warren Pharmacy

  • Military/U.S. Coast Guard Pharmacy
  • Fe Warren Afb, WY
  • NPI 1578979688
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306864632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 ALDEN DRIVE",
            "city": "FE WARREN AFB",
            "state": "WY",
            "postal_code": "82005",
            "telephone_number": "307-773-6248",
            "fax_number": "307-773-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 ALDEN DRIVE",
            "city": "FE WARREN AFB",
            "state": "WY",
            "postal_code": "82005",
            "telephone_number": "307-773-6248",
            "fax_number": "307-773-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "LISA",
        "middle_name": "SUNG EUN",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02871300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke R Kibel, OD, FAAO
• Vance Knauer, DMD
• Mallory Ann Krueger, DO
• Hallie Denise Landreth, PH D
• Haley Isham Lawson, PA-C
• Shannon Freshwater Long, PA-C
• Brian Gregory Lusk, DDS
• Jeanette Joan Lynch, LCSW
• Nicholas Robin Marshall, MSW
• Jonathan Scott Martino, DDS

• Pharmacist in Fe Warren Afb, WY
• Providers in Fe Warren Afb, WY by specialty
• Pharmacist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.