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Deactivated NPI 1063172120 Deactivated / Inactive NPI Female Practitioner

Stacey Lee

Driver • Colton, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Stacey Lee has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 29, 2021
NPI Deactivation Date December 30, 2021
Total Practice Duration ~1 Years of Practice (2021 – 2021)

Professional Overview & Biography Verified Profile Summary

Stacey Lee was a registered Driver practicing in Colton, CA. Throughout an active medical career spanning 1 years, Stacey Lee provided care at the practice location at 1800 E OLD RANCH RD APT 126 until profile deactivation on 2021-12-30.

Practice Location & Contact Primary Location

Practice Address

1800 E Old Ranch Rd Apt 126

Colton, CA 923246464

Telephone 2132782243
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in Colton, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 1.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Colton, CA (785 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-01-13
Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

A person employed to operate a motor vehicle as a carrier of persons or property.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
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Updated Practice Location January 13, 2022

Registered at 1800 E OLD RANCH RD APT 126, COLTON, CA 923246464 (Tel: 2132782243)

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Updated Business Mailing Address January 13, 2022

Registered at 1800 E OLD RANCH RD APT 126, COLTON, CA 923246464 (Tel: 2132782243)

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Provider Name / Credentials Updated January 13, 2022

Recorded as STACEY LEE

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2022

Driver

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NPI Profile Deactivated December 30, 2021

Record deactivated on December 30, 2021

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Initial NPI Registration & Enumeration December 29, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063172120
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 29, 2021
Last Update: January 13, 2022
Deactivation Date: December 30, 2021
Sole Proprietor: No

Mailing Address

1800 E Old Ranch Rd Apt 126

Colton, CA 923246464

Phone: 2132782243

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.