Provider Demographics
NPI:1285634832
Name:LEE, HELEN (MD)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:
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 1:30840 NORTHWESTERN HWY STE 110
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-2553
Mailing Address - Country:US
Mailing Address - Phone:248-626-7544
Mailing Address - Fax:248-626-9698
Practice Address - Street 1:30840 NORTHWESTERN HWY
Practice Address - Street 2:STE 110
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-2552
Practice Address - Country:US
Practice Address - Phone:248-626-0199
Practice Address - Fax:248-626-9698
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-26
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIHL066492208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0P54310001Medicare PIN
MIH82270Medicare UPIN