Provider Demographics
NPI:1124131248
Name:LEE, MAUREEN (MD)
Entity type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:
Last Name:LEE
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3530 S VAL VISTA DR STE 207
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297-7322
Mailing Address - Country:US
Mailing Address - Phone:480-656-0357
Mailing Address - Fax:480-656-0088
Practice Address - Street 1:3530 S VAL VISTA DR STE 207
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85297-7322
Practice Address - Country:US
Practice Address - Phone:480-656-0357
Practice Address - Fax:480-656-0088
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-114197207V00000X
AZ40335207V00000X, 207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal MedicineGroup - Single Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ40335OtherMEDICAL LICENSE