Active NPI
Lisa Anne Lee, ELECTROLOGIST
- Procedural Dermatology Physician
- Lansing, MI
National Provider Identifier
1568286631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- License
- 2766007124
- Practice address
- 5123 W St Joe Hwy Ste 102
Lansing, MI 48917-4028 - Phone
- (517) 643-3244
- NPI assigned
- Nov 14, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Procedural Dermatology Physician | 207NS0135X | 2766007124 | MI | Primary |
Addresses
Primary practice location
5123 W St Joe Hwy Ste 102
Lansing, MI 48917-4028
Mailing address
5123 W St Joe Hwy Ste 102
Lansing, MI 48917-4028
Phone (517) 643-3244
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2766007124 | MI | MD | Procedural Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774828800000",
"number": "1568286631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5123 W ST JOE HWY STE 102",
"city": "LANSING",
"state": "MI",
"postal_code": "489174028",
"telephone_number": "517-643-3244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5123 W ST JOE HWY STE 102",
"city": "LANSING",
"state": "MI",
"postal_code": "489174028",
"telephone_number": "517-643-3244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "LISA",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "ELECTROLOGIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-14",
"last_updated": "2026-03-30",
"certification_date": "2026-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "MI",
"license": "2766007124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.