Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. AUGUSTINE CHANGDAE LEE, MD
ActivePhysical Medicine & Rehabilitation · PEORIA, AZ
Registration Details
- NPI Number
- 1063948529
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 3, 2017 (9.0100603542306 yrs)
- Last Updated
- Nov 4, 2025
- Licenses
-
93296 (GA)63159 (TN)68595 (AZ)274910 (MA)282952 (MA)
Practice Information
- Address
-
12740 N PLAZA DEL RIO BLVDPEORIA, AZ, 853818100Browse AZ providers · Browse ZIP 85381
- Phone
- 4805813600
- Fax
- 4805813600
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
- Additional Specialty
- Physical Medicine & Rehabilitation
- Additional Specialty
- Physical Medicine & Rehabilitation
- Additional Specialty
- Physical Medicine & Rehabilitation
- Additional Specialty
- Physical Medicine & Rehabilitation
Other Physical Medicine & Rehabilitation Providers in PEORIA, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. NATALYA B FAYNBOYM | MD | 1154312403 |
| DR. TERRY L BAGLEY | M.D. | 1053365213 |
| MRS. ALICIA JOY BEANBLOSSOM | L.M.T. | 1750566139 |
| DR. DANIEL LOUIS LARA II | M.D. | 1861847915 |
| SEAN JOSEPH SCULLY | DPT | 1679056444 |
| SARAH MI MAY | PTA | 1134780281 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.