Active NPI
Albert J Lee, DO
- Aerospace Medicine Physician
- Fort Rucker, AL
National Provider Identifier
1578853024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Aerospace Medicine Physician
- License
- 948
- Practice address
- Lyster Army Health Clinic
301 Andrews Ave.
Fort Rucker, AL 36362-5333 - Phone
- (800) 261-7193
- NPI assigned
- Apr 17, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 948 | NE | |
| General Practice Physician | 208D00000X | 948 | NE | |
| Aerospace Medicine Physician | 2083A0100X | 948 | NE | Primary |
Addresses
Primary practice location
Lyster Army Health Clinic
301 Andrews Ave.
Fort Rucker, AL 36362-5333
Mailing address
Lyster Army Health Clinic
301 Andrews Ave.
Fort Rucker, AL 36362-5333
Phone (800) 261-7193
Other practice location 1
Soldier Centered Medical Home
BLDG 13815
Joint Base Lewis McChord, WA 98433-1000
Phone (253) 966-6339
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 948 | NE | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653436800000",
"number": "1578853024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LYSTER ARMY HEALTH CLINIC",
"address_2": "301 ANDREWS AVE.",
"city": "FORT RUCKER",
"state": "AL",
"postal_code": "363625333",
"telephone_number": "800-261-7193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LYSTER ARMY HEALTH CLINIC",
"address_2": "301 ANDREWS AVE.",
"city": "FORT RUCKER",
"state": "AL",
"postal_code": "363625333",
"telephone_number": "800-261-7193"
}
],
"practiceLocations": [
{
"address_1": "Soldier Centered Medical Home",
"address_2": "BLDG 13815",
"address_purpose": "LOCATION",
"city": "Joint Base Lewis McChord",
"state": "WA",
"postal_code": "984331000",
"country_code": "US",
"telephone_number": "253-966-6339",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "ALBERT",
"middle_name": "J",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-17",
"last_updated": "2022-05-25",
"certification_date": "2022-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "NE",
"license": "948",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NE",
"license": "948",
"primary": false
},
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "NE",
"license": "948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Rucker, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.