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Individual
DR. JOHN Y LEE
Active
Individual
DR. JOHN Y 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
K8788
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00R38T
GROUP MEDICARE
TX
05
—
042190101
—
TX
01
—
126961501
GROUP MEDICAID
TX
01
—
1952326993
GROUP NPI
—
Enumeration date
06/23/2006
Last updated
07/17/2017
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