Clarence Matthew Lee, PH.D.

Primary specialty

Clinical Exercise PhysiologistTaxonomy code 224Y00000X

Practice address

717 Wiget LN
Walnut Creek, CA 94598-4304

Phone

(925) 451-1073

NPI assigned

Sep 28, 2017

Sex

Male

Sole proprietor

Yes

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 Philosophy

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506556800000",
    "number": "1770092223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 WIGET LN",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945984304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 WIGET LN",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945984304",
            "telephone_number": "925-451-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CLARENCE",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-28",
        "last_updated": "2017-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcos Lee-Ramos
• Lori Diane Lee-Tonkin
• Aurora Lee
• Christopher Lee, L.AC.
• Christopher C Lee, MD
• Curie Lee
• Debby Lee, RPH
• Elise Janine Lee, NP-C
• Elizabeth Ann Lee, BSN, RN, CRNFA
• Hee Eun Lee

• Clinical Exercise Physiologist in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Clinical Exercise Physiologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2017; 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.