Provider Demographics
NPI:1326190976
Name:LEE T. WENG M.D.PC
Entity Type:Organization
Organization Name:LEE T. WENG M.D.PC
Other - Org Name:WENG PROFESSIONAL CORPORATION
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LEE
Authorized Official - Middle Name:T
Authorized Official - Last Name:WENG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:816-373-7944
Mailing Address - Street 1:11661 COLLEGE BLVD
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-4107
Mailing Address - Country:US
Mailing Address - Phone:913-954-8500
Mailing Address - Fax:
Practice Address - Street 1:11661 COLLEGE BLVD
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-4107
Practice Address - Country:US
Practice Address - Phone:913-954-8500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR7G242084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOA980000Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER