Individual provider · Type 1 NPI

Laura P. Lee, PA-C

Medical Physician Assistant · Champaign, IL

NPI number 1124019286 Active

Practice location

3101 Fields South Dr
Champaign, IL 61822-3743

Fax (217) 366-5642

Mailing address

101 W University Ave
Champaign, IL 61820-3909

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X085-002082 (IL)
Medical Physician Assistant Primary 363AM0700X085002082 (IL)

Medical Physician Assistant: Definition to come...

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About NPI 1124019286

Laura P. Lee, PA-C's National Provider Identifier is 1124019286, issued on Oct 28, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Champaign, IL. The record was last updated on Apr 28, 2026.