NPI

Derek Lee

NPI 1790042083

Read from the NPPES registry on October 24, 2026.

Facts

Status
Active
Credential
CNMT, PET
Type
Individual
Enumeration date
2012-04-12
Last updated
2012-04-12

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Specialties

Licenses

License AZ
CNMT-00404

Location

Practice location
28322 N 223rd Ln
City
Wittmann AZ
Postal code
85361-8780
Phone
(623) 388-2909
Fax
(623) 388-2909

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Wittmann, AZ. 34 records in the public file.

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