Provider Demographics
NPI:1386754224
Name:LEE, HELEN S (MD)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:S
Last Name:LEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6286 BRIARCREST AVE STE 308
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-4023
Mailing Address - Country:US
Mailing Address - Phone:901-752-4500
Mailing Address - Fax:901-752-4328
Practice Address - Street 1:6286 BRIARCREST AVE STE 308
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-4023
Practice Address - Country:US
Practice Address - Phone:901-752-4500
Practice Address - Fax:901-752-4328
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA 62491207V00000X
TN43916207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A624910Medicaid
CA00A624910Medicaid
3002443Medicare PIN
H16782Medicare UPIN