MR. DEREK LEE (NPI# 1790042083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790042083 |
| Entity Type | Individual |
| Full Name | MR. DEREK LEE |
| Credential | CNMT, PET |
| Practice Address |
28322 N 223rd Ln Wittmann AZ 85361-8780 |
| Practice Telephone | 6233882909 |
| Practice Fax Number | 6233882909 |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2012-04-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471N0900X |
Radiologic Technologist Specialization: Nuclear Medicine Technology |
CNMT-00404 | AZ | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396116596 | Derek Lee | Physical Therapist | 2668 E Citizens Dr Ste 5, Fayetteville, AR 72703-4796 | 2015-10-13 |
| 1205090503 | Derek L Lee | Dentist | 17 E Hospital St, Manning, SC 29102-3152 | 2008-07-15 |
| 1083235386 | Derek Lee | Student in an Organized Health Care Education/Training Program | 1400 W 22nd St, Sioux Falls, SD 57105-1554 | 2020-04-28 |
| 1962045849 | Derek Chalmer Lee | Counselor | 3171 N Meridian St, Indianapolis, IN 46208-4784 | 2019-10-23 |
| 1073083549 | Derek Lee | Physical Therapist | 143 E 34th St, New York, NY 10016-4713 | 2018-11-27 |
| 1891273173 | Derek Dongsuk Lee | Pharmacist | 705 E Mcdowell Rd, Pharmacy, Phoenix, AZ 85006-2519 | 2018-07-30 |
| 1639667553 | Derek Justin Lee | Student in an Organized Health Care Education/Training Program | 90 S Main St, Middletown, CT 06457-3649 | 2018-04-26 |
| 1336636273 | Derek Lee | Student in an Organized Health Care Education/Training Program | 1000 W Carson St, Torrance, CA 90502-2059 | 2018-04-17 |
| 1831619766 | Derek Lee | Counselor | 100 Asma Blvd Ste 200, Lafayette, LA 70508-3868 | 2017-06-21 |
| 1801335757 | Derek Timothy Lee | Pharmacist | 20940 Burbank Blvd, Woodland Hills, CA 91367-6601 | 2017-02-13 |
| Street Address |
28322 N 223RD LN |
| City | WITTMANN |
| State | AZ |
| Zip Code | 85361-8780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194876250 | Lisa Woodgate | Speech-Language Pathologist | 21419 W Dove Valley Rd, Wittmann, AZ 85361 | 2007-01-16 |
| 1689725368 | Virginia H. Carlson | Speech-Language Pathologist | 21419 W. Dove Valley Road, Wittmann, AZ 85361 | 2007-01-16 |
| 1568905487 | Alison Whitewood-zaslavsky | Occupational Therapist | 25124 W Blue Sky Dr, Wittmann, AZ 85361-2714 | 2016-11-25 |
| 1871762609 | Lisa Michelle Roth | Specialist/Technologist | 21419 W Dove Valley Rd, Wittmann, AZ 85361-8412 | 2008-02-26 |
| 1124203310 | Christine Florendo | Registered Nurse | 21419 W Dove Valley Rd, Wittmann, AZ 85361-8412 | 2008-01-07 |
| 1114466497 | Billie Church | Counselor | 22444 W Madre Del Oro Dr, Wittmann, AZ 85361-8656 | 2017-02-19 |
| 1780013797 | Pat Medford | Counselor | 21139 W Caravaggio Ln, Wittmann, AZ 85361-8685 | 2013-11-11 |
| 1982746681 | Cassie Lynn Lozanovski | Occupational Therapist | 22706 W Sierra Ridge Way, Wittmann, AZ 85361-8788 | 2007-02-12 |
| 1770097123 | Community Hospital Association, Inc. | Clinic/Center | 32919 N Center St Ste B, Wittmann, AZ 85361-9433 | 2017-11-21 |
| 1801950381 | Bernard L. Kruse | Psychologist | 32919 W Center St, Wittmann, AZ 85361-9433 | 2006-12-20 |
| Find all providers in zip 85361 | ||||
| Taxonomy Code | 2471N0900X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Nuclear Medicine Technology |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639578008 | Greg Perkins | Radiologic Technologist | 209 E Rose Ln, Phoenix, AZ 85012-1242 | 2014-08-21 |
| 1992914469 | Michelle Lindsay Smudde | Radiologic Technologist | 650 E. Indian School Road, Phoenix, AZ 85012-1892 | 2007-05-22 |
Please comment or provide details below to improve the information on MR. DEREK LEE.
| 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.