Michael Evan Lees, M.D.

Individual provider Active NPI Internal Medicine Physician · Rutland, VT

NPI 1790747111 · NPPES record last updated Jun 27, 2012

Key facts

NPI
1790747111
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
D42005 (MD)
Practice address
215 Stratton Rd
Rutland, VT 05701-4621
Phone
(802) 770-6713
Fax
(802) 770-6717
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20110803000410 VT Order and Referring Only - Internal Medicine
Practitioner - Internal Medicine
6406025758

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D42005 MD Yes

Addresses

Primary practice location

215 Stratton Rd
Rutland, VT 05701-4621

Mailing address

232 West St
Rutland, VT 05701-2850
Phone (802) 772-2300

Other providers in Rutland, VT

All providers in Rutland, VT · Internal Medicine Physician in Vermont

Sources for this page

Verify at the official NPI Registry.