Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAE YOUNG LEE, MD
DeactivatedJAE YOUNG LEE, MD is a Internal Medicine healthcare provider located in MARINE CITY, Michigan. NPI 1104826973 is deactivated in the NPPES registry. Verify at CMS.
Internal Medicine · MARINE CITY, MI
This NPI has been deactivated.
The record was deactivated on March 21, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1104826973
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 22, 2005 (0.66301369863014 yrs)
- Last Updated
- Jan 14, 2011
- Deactivated
- Mar 21, 2006
- License
-
4301033400 (MI)
Practice Information
- Address
-
130 WASHINGTON STMARINE CITY, MI, 480391680Browse MI providers · Browse ZIP 48039
- Phone
- 8107658844
- Fax
- 8107654326
- Primary Specialty
-
Internal Medicine
207R00000X
Other Internal Medicine Providers in MARINE CITY, MI
| Name | Credential | NPI |
|---|---|---|
| DR. PETER R PASHLEY | D.O | 1063401685 |
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.