Provider Demographics
NPI:1285618835
Name:MCNEELY, LEE K (MD)
Entity type:Individual
Prefix:DR
First Name:LEE
Middle Name:K
Last Name:MCNEELY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7720 S BROADWAY STE 500
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80122-2635
Mailing Address - Country:US
Mailing Address - Phone:303-733-0662
Mailing Address - Fax:303-733-1205
Practice Address - Street 1:7720 S BROADWAY STE 500
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-2635
Practice Address - Country:US
Practice Address - Phone:303-733-0662
Practice Address - Fax:303-733-1205
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-06
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO296992085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCOA103531OtherMEDICARE INDIVIDUAL PTAN
CO01296995Medicaid
COCOA103530OtherMEDICARE GROUP PTAN ALPINE RADIATION ONCOLOGY SERVICES PLLC
E32531Medicare UPIN
COC204528Medicare PIN
COCOA103531OtherMEDICARE INDIVIDUAL PTAN