CONNIE M LEE (NPI# 1427118272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427118272 |
| Entity Type | Individual |
| Full Name | CONNIE M LEE |
| Credential | M.D. |
| Practice Address |
1300 South Drive Winnebago WI 54985-0009 |
| Practice Telephone | 9202354910 |
| Practice Fax Number | 9202362931 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2008-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
14435 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | DEA | AL5341588 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538669783 | Connie Lee | Technician | 6524 Moon Roses Ct, Las Vegas, NV 89108-1860 | 2018-02-14 |
| 1306366315 | Connie Koeun Lee | Pharmacist | 6201 Loch Raven Blvd Apt 410, Baltimore, MD 21239-2046 | 2017-06-21 |
| 1215239231 | Connie S. Lee | Nurse Practitioner | 418 B West Central Ave, Jamestown, TN 38556 | 2010-11-23 |
| 1255968103 | Connie Lee | Registered Nurse | 4321 Carothers Pkwy, Franklin, TN 37067-5909 | 2020-03-23 |
| 1841770328 | Connie Lee | Pharmacist | 711 Pier Ave, Hermosa Beach, CA 90254-3941 | 2018-08-15 |
| 1518471317 | Connie L Lee | Registered Nurse | 1370 S State St Ste B, San Jacinto, CA 92583-4922 | 2017-12-01 |
| 1386177939 | Connie Rhim Lee | Dentist | 26877 Sierra Hwy, Santa Clarita, CA 91321-2274 | 2017-04-10 |
| 1801267919 | Connie Lee | Physician Assistant | 9396d Baltimore National Pike, Ellicott City, MD 21042-2802 | 2015-10-15 |
| 1124409685 | Connie Lee | Case Manager/Care Coordinator | 611 Forest Ave, Maysville, KY 41056-1411 | 2015-06-10 |
| 1699118331 | Connie Han Lee | Pharmacist | 6412 S Parker Rd, Aurora, CO 80016-3011 | 2013-04-11 |
| Street Address |
1300 SOUTH DRIVE |
| City | WINNEBAGO |
| State | WI |
| Zip Code | 54985-0009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093702383 | Louis M Fulton | Psychiatry & Neurology | 1300 South Drive, Winnebago Mental Health Information, Winnebago, WI 54985-0009 | 2005-10-01 |
| 1225320005 | Konstantin A Mikheyev | Family Medicine | 1300 South Drive, Winnebago, WI 54985-0009 | 2011-05-11 |
| 1992028948 | Kaye Zwiacher | Psychiatry & Neurology | 1300 South Drive, Winnebago, WI 54985 | 2010-03-04 |
| 1417189135 | Kevin K Klein | Nurse Practitioner | 1300 South Drive, Winnebago, WI 54985-0009 | 2009-08-13 |
| 1669627089 | Anthony M Lichtfuss | Social Worker | 1300 South Drive, Winnebago, WI 54985 | 2008-11-26 |
| 1598984346 | Kayla M Pope | Psychiatry & Neurology | 1300 South Drive, Winnebago, WI 54985-0009 | 2007-04-24 |
| 1962626317 | Kent M Berney | Psychologist | 1300 South Drive, Winnebago, WI 54985-0009 | 2007-04-13 |
| 1255451688 | Clifford K Stephens | Psychologist | 1300 South Drive, Winnebago, WI 54985-0009 | 2007-03-30 |
| 1669505996 | Margaret Lehnert | Dentist | 1300 South Drive, Winnebago, WI 54985-0009 | 2007-03-14 |
| 1750425328 | Michele A. Andrade | Psychiatry & Neurology | 1300 South Drive, Winnebago, WI 54985 | 2007-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437315538 | Emerald M Hauser | Student in an Organized Health Care Education/Training Program | 1300 South Treffert Drive, Winnebago, WI 54985 | 2008-07-29 |
| 1427231828 | Carlo Gallo Gaanan | Family Medicine | 1505 North Drive, Winnebago, WI 54985 | 2007-12-10 |
| 1588781488 | Paul J Barfknecht | Pharmacist | 1300 South Dr, Winnebago, WI 54985 | 2007-03-23 |
| 1265924161 | Jeremiah Mobisa Gwaro | Nurse Practitioner | 1505 North Drive, Winnebago, WI 54985 | 2018-06-06 |
| 1932630985 | Thomas Michlowski | Psychiatry & Neurology | 1505 North Drive, Winnebago, WI 54985 | 2017-03-22 |
| 1295094571 | Julie Ann Thiel | Pharmacist | 1505 North Drive, Winnebago, WI 54985 | 2012-05-08 |
| 1124270947 | Adam Matthew Berman | Psychologist | 2901 W Kinnickinnic River Parkway, Ste 516 Medical Psychology Association, Milwaukee, WI 54985 | 2008-10-13 |
| 1225214802 | Dara B. Sitter | Pharmacist | 1300 South Dr., Winnebago, WI 54985 | 2008-01-14 |
| 1083825608 | Kelly Lee Straus-diedrick | Physical Therapist | 725 Butler Ave, Winnebago, WI 54985 | 2007-05-25 |
| 1093864993 | Byron J Krause | Speech-Language Pathologist | 725 Butler Ave, Oshkosh, WI 54985 | 2007-01-09 |
| Find all providers in zip 54985 | ||||
| Taxonomy Code | 2084F0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Forensic Psychiatry |
| Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467494211 | Marshall John Bales | Psychiatry & Neurology | 1300 South Drive, Winnebago, WI 54985-0009 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023142064 | John Pankiewicz | Psychiatry & Neurology | 821 W State St, Suite 504, Milwaukee, WI 53233-1427 | 2007-03-14 |
| 1518022748 | Kathleen Ann Hughes | Psychiatry & Neurology | 1265 John Q Hammons Drive, Madison, WI 53717-5500 | 2006-12-27 |
| 1497716443 | Murray Kapell | Psychiatry & Neurology | 113 S Franklin St, Janesville, WI 53548-3812 | 2006-03-29 |
| 1679543060 | Ralph K. Baker | Psychiatry & Neurology | 303 Pearl Ave, Suite C, Oshkosh, WI 54903-0679 | 2006-01-26 |
| 1760638886 | Susan Tran | Psychiatry & Neurology | 1160 Kepler Dr, Green Bay, WI 54311-8321 | 2008-08-08 |
| 1962609537 | Mitzi Montgomery Kramer | Psychiatry & Neurology | 34700 Valley Rd, Oconomowoc, WI 53066-4500 | 2007-06-28 |
| 1356478887 | Brad E. R. Smith | Psychiatry & Neurology | 301 Troy Dr, Madison, WI 53704-1521 | 2007-02-28 |
| 1972647527 | Kevin Patrick Kallas | Psychiatry & Neurology | 3099 E Washington Ave, Madison, WI 53704-4338 | 2007-02-16 |
| 1477631117 | Caroline Nicole Palmer | Psychiatry & Neurology | 2600 N Mayfair Rd, Suite 850, Wauwatosa, WI 53226-1309 | 2006-11-01 |
| 1407963820 | Barbara J Murray | Psychiatry & Neurology | 190 Gardner Ave, #3, Burlington, WI 53105-2160 | 2006-08-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.