Desiree Lee
Technician, Other in Detroit, MI. Individual provider (NPI-1).
NPI number1356736623
StatusActive
Last updated in NPPESApr 2, 2015
Details
- NPI
- 1356736623
- Entity type
- Individual (NPI-1)
- Name
- Desiree Lee
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2015
- Last updated
- Apr 2, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
16534 Trinity StDetroit, MI 48219-3970
Phone 313-243-6670
Mailing address
16534 Trinity StDetroit, MI 48219-3970
Phone 313-243-6670
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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