MIKKO LEE (NPI# 1013303528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013303528 |
| Entity Type | Individual |
| Full Name | MIKKO LEE |
| Practice Address |
4415 Shepard Rd Ne 15-2i Albuquerque NM 87110-1831 |
| Practice Telephone | 5052369538 |
| Mailing Telephone | 5052369538 |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2015-04-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
4415 SHEPARD RD NE 15-2I |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110-1831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
| 1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
| 1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
| 1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
| 1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
| 1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
| 1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
| Find all providers in zip 87110 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| 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. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952228 | Toshiyuki Shiina | Student in an Organized Health Care Education/Training Program | Unmh Hospital, 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-06 |
| 1629679808 | Jorge Licano | Student in an Organized Health Care Education/Training Program | Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-04 |
| 1730780032 | Joseph Sanchez | Student in an Organized Health Care Education/Training Program | (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-03 |
| 1447869144 | Tarab Mansoor | Student in an Organized Health Care Education/Training Program | Msc10 5620 1 University of New Mexico Albuquerque Nm, Albuquerque, NM 87131-0001 | 2020-07-28 |
| 1306454392 | Yusra Azhar | Student in an Organized Health Care Education/Training Program | Msc 5615 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2020-07-16 |
| 1154949360 | Muhammad Abdur Raafey | Student in an Organized Health Care Education/Training Program | Msc11 6025 University of New Mexico, Albuquerque, NM 87131-0001 | 2020-07-14 |
| 1194347344 | Waseem Zechariah Wagrees | Student in an Organized Health Care Education/Training Program | Department of Neurology Msc 105620, University of New Mexico, Albuquerque, NM 87131-0001 | 2020-05-11 |
| 1508487562 | Jonathan G Swope | Student in an Organized Health Care Education/Training Program | Msc (aegd) 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2020-04-30 |
| 1619598844 | Syed Faraz Faraz Kazim | Student in an Organized Health Care Education/Training Program | Department of Neurosurgery, Msc 10-5615, University of New Mexico School of Medicine, Albuquerque, NM 87131-0001 | 2020-04-28 |
| 1700407939 | Ravi Soni | Student in an Organized Health Care Education/Training Program | Department of Neurology 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2020-04-28 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87110 |
Please comment or provide details below to improve the information on MIKKO LEE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.