MI RA LEE MD
NPI 1598043614
Student in an Organized Health Care Education/Training Program in Rockford, IL

Active since July 22, 2011
1221 E STATE ST, ROCKFORD, IL 61104(815) 972-1000 Get Directions Write a Review

NPPES record last updated: July 22, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mi Ra Lee Md NPPES

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

MI RA LEE MD (NPI 1598043614) is an individual student in an organized health care education/training program in Rockford, Illinois, licensed in Illinois (125059252) and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1598043614
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMI RA LEECredential: MD
Location Address1221 E STATE STRockford, IL 61104-2231
Mailing Address1221 E State StRockford, IL 61104-2231 · (815) 972-1000
Sole ProprietorNo
Enumeration DateJuly 22, 2011
NPI 1598043614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in IL · 125059252
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.
1221 E STATE ST, Rockford, IL 61104

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
1221 E STATE ST
ROCKFORD, IL 61104
Student in an Organized Health Care Education/Training Program
1221 E STATE ST
ROCKFORD, IL 61104
Student in an Organized Health Care Education/Training Program
1221 E STATE ST
ROCKFORD, IL 61104
Nurse Practitioner
1221 E STATE ST
ROCKFORD, IL 61104
Family Medicine
1221 E STATE ST
ROCKFORD, IL 61104
Nurse Practitioner (Family)
1221 E STATE ST
ROCKFORD, IL 61104
Family Medicine
1221 E STATE ST
ROCKFORD, IL 61104
Family Medicine
1221 E STATE ST
ROCKFORD, IL 61104

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 Mi Ra Lee's NPI number?

The NPI number for Mi Ra Lee is 1598043614. It was assigned to this individual provider in the NPPES registry on July 22, 2011.

Where is Mi Ra Lee located?

Mi Ra Lee practices at 1221 E State St, Rockford, IL 61104. The listed phone number is (815) 972-1000.

What is Mi Ra 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 Mi Ra Lee was last updated on July 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.