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

Grace Lee, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053058073

Grace Lee, MD is a Student in an Organized Health Care Education/Training Program in Urbana, Illinois. Licensed in Illinois. Registered with an NPI since 2022.

Licensed in
IL
In the registry since
2022
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

611 W Park St
Urbana, IL 61801-2529
Phone: (615) 290-6597
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 125.083042 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1053058073
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 20, 2022
Last updated in NPPESJuly 14, 2023
Certification dateJuly 14, 2023
Mailing address1630 Camellia Ln, Redlands, CA 92374-1410

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