MR. MATTHEW KERMIT LEE IDC
NPI 1770932220
Military Health Care Provider - Independent Duty Corpsman in Groton, CT

Q: What is Matthew Lee's NPI number?

The NPI number for Matthew Lee is 1770932220. It was assigned to this individual provider in the NPPES registry on June 6, 2016.

Q: What is Matthew Lee's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Lee was last updated on June 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 June 06, 2016

465 TROUT AVE, NUMI, GROTON, CT 06340(680) 666-6666 Get Directions Write a Review

NPPES record last updated: June 6, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Mr. Matthew Kermit Lee Idc NPPES

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

MR. MATTHEW KERMIT LEE IDC (NPI 1770932220) is an individual independent duty corpsman provider in Groton, Connecticut and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1770932220

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameMR. MATTHEW KERMIT LEECredential: IDC

Location Address465 TROUT AVE, NUMIGroton, CT 06340

Mailing Address465 Trout Ave, NumiGroton, CT 06340

Phone(680) 666-6666

Sole ProprietorNo

Enumeration DateJune 6, 2016

✔ NPI 1770932220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

465 TROUT AVE, Groton, CT 06340

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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 Matthew Lee's NPI number?

The NPI number for Matthew Lee is 1770932220. It was assigned to this individual provider in the NPPES registry on June 6, 2016.

Where is Matthew Lee located?

Matthew Lee practices at 465 Trout Ave Numi, Groton, CT 06340. The listed phone number is (680) 666-6666.

What is Matthew Lee's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Matthew Lee was last updated on June 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.