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DEREK LEE
NPI 1568847762
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Active since July 29, 2015
5400 MOUNTAIN VISTA ST, APT 1421, LAS VEGAS, NV 89120(510) 754-9611 Get Directions Write a Review

NPPES record last updated: July 29, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derek Lee NPPES

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

DEREK LEE (NPI 1568847762) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1568847762
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDEREK LEE
Location Address5400 MOUNTAIN VISTA ST, APT 1421Las Vegas, NV 89120-2161
Mailing Address5400 Mountain Vista St, Apt 1421Las Vegas, NV 89120-2161 · (510) 754-9611
Phone(510) 754-9611
Sole ProprietorNo
Enumeration DateJuly 29, 2015
✔ NPI 1568847762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5400 MOUNTAIN VISTA ST, Las Vegas, NV 89120
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Other Identifiers 1

Medicaid00001994561NV

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 Derek Lee's NPI number?

The NPI number for Derek Lee is 1568847762. It was assigned to this individual provider in the NPPES registry on July 29, 2015.

Where is Derek Lee located?

Derek Lee practices at 5400 Mountain Vista St Apt 1421, Las Vegas, NV 89120. The listed phone number is (510) 754-9611.

What is Derek Lee's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Derek Lee was last updated on July 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.