Provider Demographics
NPI:1184156713
Name:LEE, DYLAN HARRIS (MD)
Entity type:Individual
Prefix:DR
First Name:DYLAN
Middle Name:HARRIS
Last Name:LEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 NORTH CAMPBELL AVENUE ; PO BOX 245093
Mailing Address - Street 2:ROOM 8303
Mailing Address - City:TUCOSN
Mailing Address - State:AZ
Mailing Address - Zip Code:85724-5093
Mailing Address - Country:US
Mailing Address - Phone:520-626-4111
Mailing Address - Fax:520-626-5018
Practice Address - Street 1:1501 N CAMPBELL AVE RM 8303
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85724-2360
Practice Address - Country:US
Practice Address - Phone:520-626-4111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-02
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ67347207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology