Provider Demographics
NPI:1518145747
Name:HELEN LEE, MD PC
Entity Type:Organization
Organization Name:HELEN LEE, MD PC
Other - Org Name:FARMINGTON MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-626-0199
Mailing Address - Street 1:30840 NORTHWESTERN HWY
Mailing Address - Street 2:SUITE 110
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-2552
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:SUITE 110
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-2552
Practice Address - Country:US
Practice Address - Phone:248-626-7544
Practice Address - Fax:248-626-9698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-11
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIHL066492208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0P54310Medicare PIN
MIH82270Medicare UPIN