Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Samuel Theodore Lee, MD

Individual provider Pediatrics Physician · NPI 1184989436

Dr. Samuel Theodore Lee, MD is a Pediatrics Physician in Green Bay, Wisconsin. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois and Wisconsin.

Licensed in
IL, WI
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2845 Greenbrier Rd
Green Bay, WI 54311-6519
Phone: (920) 288-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 — (309) 655-2274

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X · Licence 22495 (WI)
Pediatrics Physician Taxonomy 208000000X · Licence 125.061701 (IL)

Record details

NPI number1184989436
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 11, 2012
Last updated in NPPESJune 13, 2025
Certification dateJune 13, 2025

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