Lee Medical Clinic SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

42508020 Issued in WI

Legal business name

LEE MEDICAL CLINIC SC

Practice address

7114 W. Capitol Drive
Milwaukee, WI 53216

Phone

(414) 616-8901

Fax

(414) 616-8906

NPI assigned

Sep 21, 2006

Last updated

Oct 4, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Cha Lee, MD

Title

Doctor Owner

Phone

(414) 616-8901

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Legal Business Name Other name

Locations

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1902905839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7114 W CAPITOL DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162052",
            "telephone_number": "414-616-8901",
            "fax_number": "414-616-8906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7114 W. CAPITOL DRIVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53216",
            "telephone_number": "414-616-8901",
            "fax_number": "414-616-8906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE MEDICAL CLINIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHA",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "414-616-8901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "42508020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34066500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legal Business Name",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• George Richard Ledvina III, DDS
• Michael James Ledvina, CRNA
• Lee Chiropractic Clinic, LLC
• Lee Home Healthcare, LLC
• Lee Medical Clinic
• Denita Lee-Johnson
• Alice Yoonjae Lee, MD
• Allen Lee
• Amie Lee
• Arthur B. Lee, PA

• Family Medicine Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.