| Doctor Name: | DR. MICHAEL ANDREW LEE |
| NPI Number: | 1215260997 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 0101248107 |
| Business Practice Address: | Psc Box 20096 3/2 Bas Camp Lejeune, NC - 28542 |
| Business Phone Number: | 9104508051 |
| Business Fax Number: | |
| Mailing Address: | Psc Box 20096, 3/2 Bas CAMP LEJEUNE |
| State: | NC |
| Postal Code: | 28542 |
| Phone Number: | 9104508051 |
| Fax Number: | |
| NPI Enumeration Date: | 09/11/2009 |
| NPI Last Update Date: | 11/17/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 0101248107 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |