DR. LEE LYLE WARDLAW MD
NPI 1134200025
Internal Medicine - Gastroenterology in Memphis, TN

Q: What is Lee Wardlaw's NPI number?

The NPI number for Lee Wardlaw is 1134200025. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Q: What is Lee Wardlaw's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Lee Wardlaw was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 18, 2006

1264 WESLEY DRIVE, #602, MEMPHIS, TN 38116(901) 396-0311(901) 516-3869 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Lee Lyle Wardlaw Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LEE LYLE WARDLAW MD (NPI 1134200025) is an individual gastroenterology provider in Memphis, Tennessee, licensed in Tennessee (MD008559) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1134200025

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. LEE LYLE WARDLAWCredential: MD

Location Address1264 WESLEY DRIVE, #602Memphis, TN 38116-6459

Mailing Address1264 Wesley Drive, #602Memphis, TN 38116-6459 · (901) 396-0311 · Fax (901) 516-3869

Phone(901) 396-0311

Fax(901) 516-3869

Sole ProprietorNo

Enumeration DateOctober 18, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1134200025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in TN · MD008559✔ Licensed in MS · 05332

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1264 WESLEY DRIVE, Memphis, TN 38116

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Other Identifiers 4

Medicare UPINB02611

Medicaid00014795MS

Other1000000014MS · Mediare

Medicare ID-Type Unspecified3700161TN

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BUTLER NEUROLOGY PC

Psychiatry & Neurology (Neurology)

1264 WESLEY DRIVE, SUITE 209
MEMPHIS, TN 38116

Shelby County (901) 396-4958

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lee Wardlaw's NPI number?

The NPI number for Lee Wardlaw is 1134200025. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Lee Wardlaw located?

Lee Wardlaw practices at 1264 Wesley Drive #602, Memphis, TN 38116. The listed phone number is (901) 396-0311.

What is Lee Wardlaw's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Lee Wardlaw was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.