Provider Demographics
NPI:1275601379
Name:LEE HEALTH CENTER
Entity Type:Organization
Organization Name:LEE HEALTH CENTER
Other - Org Name:SPINALAID CENTER OF AMERICAN FORK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:C
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:801-756-7800
Mailing Address - Street 1:999 EAST PACIFIC DRIVE
Mailing Address - Street 2:
Mailing Address - City:AMERICAN FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84003-2557
Mailing Address - Country:US
Mailing Address - Phone:801-756-7800
Mailing Address - Fax:801-756-7805
Practice Address - Street 1:999 EAST PACIFIC DRIVE
Practice Address - Street 2:
Practice Address - City:AMERICAN FORK
Practice Address - State:UT
Practice Address - Zip Code:84003-2557
Practice Address - Country:US
Practice Address - Phone:801-756-7800
Practice Address - Fax:801-756-7805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT48375861202111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT0007078523OtherAETNA
UT48375861202001OtherBLUE SHIELD
UT005766602Medicare PIN
UT48375861202001OtherBLUE SHIELD