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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1871179267

Stacy Lee, MD is an Internal Medicine in Providence, Rhode Island. Qualified in 2020, 6 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
6
Licensed in
RI
In the registry since
2021
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

164 Summit Ave
Providence, RI 02906-2853
Phone: (014) 793-4489
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 207R00000X (RI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1871179267
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2021
Last updated in NPPESMay 16, 2024
Certification dateMay 16, 2024
Mailing address117 Ellenfield St Ste 101, Providence, RI 02905-4541

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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