Provider Demographics
NPI:1164710083
Name:LEE, REGINA C (MD)
Entity Type:Individual
Prefix:DR
First Name:REGINA
Middle Name:C
Last Name:LEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 E HAMPDEN AVE STE 350
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-3879
Mailing Address - Country:US
Mailing Address - Phone:303-409-1430
Mailing Address - Fax:303-781-2218
Practice Address - Street 1:701 E HAMPDEN AVE STE 350
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-3879
Practice Address - Country:US
Practice Address - Phone:303-409-1430
Practice Address - Fax:303-781-2218
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-12
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD042101207RC0000X
390200000X
CODR.0067351207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program