Provider Demographics
NPI:1467605204
Name:LEE, HOWARD H (CPED,LO)
Entity Type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:H
Last Name:LEE
Suffix:
Gender:M
Credentials:CPED,LO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 MONTICELLO DR
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72116-6935
Mailing Address - Country:US
Mailing Address - Phone:501-353-1226
Mailing Address - Fax:
Practice Address - Street 1:2200 FORT ROOTS DR
Practice Address - Street 2:BLDG 89 ROOM 101
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72114-1709
Practice Address - Country:US
Practice Address - Phone:501-257-1611
Practice Address - Fax:501-257-1624
Is Sole Proprietor?:No
Enumeration Date:2008-10-24
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROPP00109222Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AROPP00109OtherARKANSAS STATE BOARD OF HEALTH
C.PED. 0996OtherAMERICAN BOARD OF CERTIFICATION