Provider Demographics
NPI:1003396904
Name:LEE, DANIEL AARON (NP-C)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:AARON
Last Name:LEE
Suffix:
Gender:M
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:413 CALLA LILY LN
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-9647
Mailing Address - Country:US
Mailing Address - Phone:405-812-3536
Mailing Address - Fax:
Practice Address - Street 1:2448 E 81ST ST STE 1100
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-4205
Practice Address - Country:US
Practice Address - Phone:918-505-3400
Practice Address - Fax:918-508-7070
Is Sole Proprietor?:No
Enumeration Date:2018-08-20
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK113179363LF0000X
OKR0113179363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily