Provider Demographics
NPI:1699297382
Name:LEE, ANNE VICTORIA (MD MPH)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:VICTORIA
Last Name:LEE
Suffix:
Gender:F
Credentials:MD MPH
Other - Prefix:DR
Other - First Name:ANNE
Other - Middle Name:V
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:5048 MACDONOUGH PL
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21703-7671
Mailing Address - Country:US
Mailing Address - Phone:415-793-3705
Mailing Address - Fax:415-728-9722
Practice Address - Street 1:1415 WASHINGTON HTS
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109-2029
Practice Address - Country:US
Practice Address - Phone:734-647-1120
Practice Address - Fax:734-936-2084
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-13
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD967822083B0002X, 2083P0500X
PAMD4780712083P0500X
MI43015017162083X0100X, 2083P0500X
CAA683212083P0901X
CODR.00697132083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
No2083B0002XAllopathic & Osteopathic PhysiciansPreventive MedicineObesity Medicine
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine