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

Jae Young Lee, MD

Individual provider Internal Medicine Physician · NPI 1104826973

Jae Young Lee, MD is an Internal Medicine in Marine City, Michigan. Qualified in 1968, 58 years ago. Licensed in Michigan.

Years since qualifying
58
Licensed in
MI
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

130 Washington St
Marine City, MI 48039-1680
Phone: (810) 765-8844
Fax: (810) 765-4326
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4301033400 (MI)

Record details

NPI number1104826973
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 22, 2005
Last updated in NPPESJanuary 14, 2011
Mailing address130 Washington St, Marine City, MI 48039-1680

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1968 (58 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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