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Individual
DR. JINOO TOMMY LEE
Active
Individual
DR. JINOO TOMMY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200800851
NC
207Q00000X
Family Medicine Physician
LL27074
SC
207Q00000X
Family Medicine Physician
ME101283
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00038300
—
FL
01
—
30745
BCBS
FL
01
—
4474955
CIGNA
FL
Enumeration date
07/25/2006
Last updated
06/02/2016
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