Active NPI
Lara Morgan Lee, M.D.
- Sports Medicine (Internal Medicine) Physician
- Chicago, IL
National Provider Identifier
1710111976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Internal Medicine) Physician
- License
- C157971
- Practice address
- 47 W Polk St Ste 100
#537
Chicago, IL 60605-2085 - Phone
- (812) 454-1969
- NPI assigned
- May 4, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Internal Medicine) Physician | 207RS0010X | 35.098194 | OH | |
| Sports Medicine (Internal Medicine) Physician | 207RS0010X | C157971 | CA | Primary |
Addresses
Primary practice location
47 W Polk St Ste 100
#537
Chicago, IL 60605-2085
Mailing address
47 W Polk St Ste 100
Chicago, IL 60605-2085
Phone (812) 454-1969
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C157971 | CA | MD | Sports Medicine (Internal Medicine) Physician |
| 35.098194 | OH | MD | Sports Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713744000000",
"number": "1710111976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 W POLK ST STE 100",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606052085",
"telephone_number": "812-454-1969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 W POLK ST STE 100",
"address_2": "#537",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606052085",
"telephone_number": "812-454-1969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "LARA",
"middle_name": "MORGAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-04",
"last_updated": "2024-04-22",
"certification_date": "2024-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RS0010X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sports Medicine",
"state": "OH",
"license": "35.098194",
"primary": false
},
{
"code": "207RS0010X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sports Medicine",
"state": "CA",
"license": "C157971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.