Provider Demographics
NPI:1871585836
Name:FRANKEL, LEE ALVIN (MD)
Entity type:Individual
Prefix:
First Name:LEE
Middle Name:ALVIN
Last Name:FRANKEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 35380
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89133-5380
Mailing Address - Country:US
Mailing Address - Phone:702-579-3203
Mailing Address - Fax:702-838-1456
Practice Address - Street 1:5651 W TALAVI BLVD STE 170
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85306-1893
Practice Address - Country:US
Practice Address - Phone:602-843-1313
Practice Address - Fax:602-843-0191
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ24467207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
820410OtherAETNA
8303107007OtherCIGNA 200
1Z7304OtherHEALTHNET
110173204OtherRR MEDICARE
860923905OtherHUMANA PPO
AZ824320OtherBCBS
24094OtherMEDICARE
5075581OtherCCN
8303008007OtherCIGNA 210
1422191OtherFIRST HEALTH
8303008007OtherCIGNA 210
1Z7304OtherHEALTHNET