DR. LISA SUNG EUN LEE (NPI# 1306864632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306864632 |
| Entity Type | Individual |
| Full Name | DR. LISA SUNG EUN LEE |
| Credential | PHARM D |
| Practice Address |
6900 Alden Drive Fe Warren Afb WY 82005 |
| Practice Telephone | 3077736248 |
| Practice Fax Number | 3077734589 |
| Mailing Telephone | 3077736248 |
| Mailing Fax Number | 3077734589 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 28RI02871300 | NJ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568083038 | Lisa Marie Lee | Nurse Practitioner | 300 Northridge Dr, Shelbyville, IN 46176-8954 | 2020-05-06 |
| 1013577394 | Lisa Latel Lee | Nurse Practitioner | 501 Medical Center Dr # 250, Alexandria, LA 71301-8124 | 2019-06-18 |
| 1003322488 | Lisa Robyn Lee | Behavior Technician | 2018 W Rundberg Ln, #13d, Austin, TX 78758 | 2017-12-20 |
| 1538578893 | Lisa Lee | Pathology | 102 Jessica Ct, Byron, GA 31008-3932 | 2014-08-11 |
| 1417367715 | Lisa Marie Lee | Nurse Practitioner | 340 Eureka Drive, Pacifica, CA 94044 | 2014-05-07 |
| 1083038160 | Lisa Lee | Marriage & Family Therapist | 98-211 Pali Momi St Ste 803, Aiea, HI 96701-4380 | 2014-02-11 |
| 1306270848 | Lisa Suwan Lee | Social Worker | 16809 W Warren Ave, Detroit, MI 48228-3567 | 2013-09-01 |
| 1225372949 | Lisa Hua Lee | Physical Therapy Assistant | 811 N Crescent Lakes Cir, Andover, KS 67002 | 2012-11-19 |
| 1134475601 | Lisa Lee | Occupational Therapist | 340 Sea Horse Ct, Foster City, CA 94404-1937 | 2012-08-01 |
| 1346562212 | Lisa N. Lee | Nurse Practitioner | 1712 East Broad Street, Richmond, VA 23223 | 2010-02-19 |
| Street Address |
6900 ALDEN DRIVE |
| City | FE WARREN AFB |
| State | WY |
| Zip Code | 82005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336111509 | John Batterson Stetson V | Psychiatry & Neurology | 6900 Alden Drive, Attn: 90 Mdos/sgow - Mental Health, Fe Warren Afb, WY 82005-3913 | 2006-02-02 |
| 1386737146 | Stephen Dixon Ross | Psychologist | 6900 Alden Drive, Attn: 90 Mdos/sgof-fam Hlth, Fe Warren Afb, WY 82005-3913 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285250597 | Brittany Corrin Souder | Military Health Care Provider | 1600 Aldene Drive, Fe Warren Afb, WY 82005 | 2020-06-23 |
| 1093368110 | Aaron Michael Keating | Student in an Organized Health Care Education/Training Program | Mental Health Clinic, 90th Omrs, Fe Warren Clinic, Fe Warren Afb, WY 82005 | 2019-07-17 |
| 1477643823 | Paul Hoon Kim | Dentist | 90 Mdos, 6900 Alden Dr, F.e. Warren Afb, WY 82005 | 2006-10-14 |
| 1568495315 | Joseph Myles Simpson, Jr. | Dentist | F E Warren Air Force Base Dental Clinic, 6900 Alden Drive, Cheyenne, WY 82005 | 2006-07-07 |
| 1679953640 | Mary Frances Macleod | Pediatrics | 6900 Alden Dr, Fe Warren Afb, WY 82005 | 2015-06-04 |
| 1225097371 | George Miller Hilgendorf Jr. | Dentist | 6900 Alden Dr, 90 Mdg, Fe Warren Afb, WY 82005 | 2006-03-18 |
| 1194716159 | Steven L Martin | Physician Assistant | 6900 Alden Dr, Cheyenne, WY 82005 | 2005-10-31 |
| 1992957252 | Perala Enterprises, LLC | Eyewear Supplier (Equipment, not the service) | 6207 Missile Dr, Building 722, Ft Warren Afb, WY 82005-2407 | 2008-10-17 |
| 1972157808 | James Turvy | Dentist | 6900 Alden Dr Bldg 160, Fe Warren Afb, WY 82005-2945 | 2019-07-29 |
| 1548814890 | Jonathan R Courtright | Physician Assistant | 6900 Alden Dr, Cheyenne, WY 82005-2945 | 2019-07-25 |
| Find all providers in zip 82005 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457990863 | Vivian Colette Tran | Pharmacist | 6900 Alden Dr, Fe Warren Afb, WY 82005-3906 | 2020-01-02 |
| 1396018982 | Ryan Christopher Reynolds | Pharmacist | 6900 Alden Dr Bldg 160, Fe Warren Afb, WY 82005-3906 | 2012-02-14 |
| 1144307778 | Frances M Bartz | Pharmacist | 6900 Alden Dr, 90 Mdss/sgsd, Fe Warren Afb, WY 82005-3906 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350096 | Lihan Deng | Pharmacist | 1000 E University Ave Dept 3068, Laramie, WY 82071-2000 | 2020-09-10 |
| 1578187159 | Tara Hensley | Pharmacist | 971 Waterford, Casper, WY 82609-3234 | 2020-05-30 |
| 1427691211 | Rhet Mitchell Long | Pharmacist | 307 S Washington, Afton, WY 83110 | 2019-10-24 |
| 1013568922 | Paul R Burpo Jr. | Pharmacist | 950 N Hwy 414, Mountain View, WY 82939 | 2019-09-23 |
| 1316598360 | Tana Arbury | Pharmacist | 2301 E Lincolnway, Cheyenne, WY 82001-5487 | 2019-09-20 |
| 1386111300 | Kyle David Gordon | Pharmacist | 2625 E. 2nd St., Pharmacy, Casper, WY 82601 | 2018-10-29 |
| 1679048136 | Craig A Frederick | Pharmacist | 437 West Whalen St, Guernsey, WY 82214-0250 | 2018-10-10 |
| 1003306374 | Wenyang Mao Donehue | Pharmacist | 6919 Prairie Hills Dr, Cheyenne, WY 82009-2696 | 2018-05-13 |
| 1548768237 | Rebecca A Darling | Pharmacist | 1514 Arnold St, Laramie, WY 82070-5419 | 2018-01-27 |
| 1912413964 | Kaylyn Brook Bahnson | Pharmacist | 2000 South Douglas Hwy Walgreens Pharmacy, Gillette, WY 82718 | 2017-12-28 |
| Find all providers with the same taxonomy | ||||
| City | FE WARREN AFB |
| Zip Code | 82005 |
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| 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.