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Individual
JUYUN LEE
Active
Individual
JUYUN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP115140
TX
363LF0000X
Family Nurse Practitioner
Primary
691600
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186834102
—
TX
01
—
P00853312
RAILROAD MEDICARE
TX
01
—
TXB106639
MEDICARE
TX
Enumeration date
01/09/2007
Last updated
10/31/2024
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