Provider Demographics
NPI:1013973460
Name:LEE, LORETTA LEIH-SHENG (MD)
Entity Type:Individual
Prefix:DR
First Name:LORETTA
Middle Name:LEIH-SHENG
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 1:4001 DALE ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-5445
Mailing Address - Country:US
Mailing Address - Phone:907-929-5880
Mailing Address - Fax:907-929-5882
Practice Address - Street 1:4001 DALE ST
Practice Address - Street 2:SUITE 210
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5445
Practice Address - Country:US
Practice Address - Phone:907-929-5880
Practice Address - Fax:907-929-5882
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK4546207R00000X
TXK0333207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKAK00138OtherMEDICARE SUBMITTER ID
TXK0333OtherTEXAS STATE MEDICAL LICEN
AK4546OtherAK STATE MEDICAL LICENSE
AK4546OtherAK STATE MEDICAL LICENSE
AKBL5955832OtherDEA LICENSE
AKG76811Medicare UPIN