Provider Demographics
NPI:1396062386
Name:LEE, MICHAELA H (MD)
Entity type:Individual
Prefix:
First Name:MICHAELA
Middle Name:H
Last Name:LEE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:7242 E OSBORN RD # 520
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-6487
Mailing Address - Country:US
Mailing Address - Phone:602-313-7772
Mailing Address - Fax:480-847-2932
Practice Address - Street 1:7242 E OSBORN RD # 520
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-6487
Practice Address - Country:US
Practice Address - Phone:602-313-7772
Practice Address - Fax:480-847-2932
Is Sole Proprietor?:No
Enumeration Date:2010-04-29
Last Update Date:2025-05-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ53573207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ251878Medicaid