Organization Active NPI

Lawrence I Lee MD LLC

  • Internal Medicine Physician
  • Pelham, AL
National Provider Identifier
1972735892
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20235 Issued in AL
Legal business name
LAWRENCE I LEE MD LLC
Practice address
120 Cahaba Valley Pkwy
Suite 203
Pelham, AL 35124-1185
Phone
(205) 985-9023
NPI assigned
Aug 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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

Authorized official

Name
Lawrence I Lee, MDNPI 1063424935
Title
Owner
Phone
(205) 985-9023

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 20235 AL Primary

Addresses

Primary practice location

120 Cahaba Valley Pkwy
Suite 203
Pelham, AL 35124-1185

Mailing address

120 Cahaba Valley Pkwy
Suite 203
Pelham, AL 35124-1185
Phone (205) 985-9023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090831000120 AL Part B Supplier - Clinic/Group Practice 8224183082 Receives reassigned benefits from 1 practitioner
Practice locations: Alabaster, AL; Talladega, AL

National Provider Directory

National Provider Directory

Locations

120 Cahaba Valley Pkwy
Ste 203
Pelham, AL 35124
Phone (205) 235-5800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249948800000",
    "number": "1972735892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CAHABA VALLEY PKWY",
            "address_2": "SUITE 203",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241185",
            "telephone_number": "205-985-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CAHABA VALLEY PKWY",
            "address_2": "SUITE 203",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241185",
            "telephone_number": "205-985-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE I LEE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-11",
        "last_updated": "2009-08-11",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-985-9023",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "20235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.