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Individual

MR. SAMUEL JOONSANG LEE

Active
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Individual

MR. SAMUEL JOONSANG LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP-C

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95040295
CA
207Q00000X
Family Medicine Physician
95004858
CA
363L00000X
Nurse Practitioner
AP60798120
WA
363LF0000X
Family Nurse Practitioner
Primary
95004858
CA

Other

Enumeration date
10/10/2016
Last updated
05/01/2023
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