# J. W. LEE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801290994
- **Authorized official:** DR. JI WOO LEE M.D. (PRESIDENT)
- **Authorized official phone:** (513) 865-5050

## Contact information

- **Practice address:** 10500 MONTGOMERY RD, CINCINNATI, OH 45242
- **Practice address phone:** (513) 865-5050
- **Practice address fax:** (813) 865-5050
- **Mailing address:** 2935 THOUSAND OAKS, SUITE 294, SAN ANTONIO, TX 78247-3312
- **Mailing address phone:** (210) 494-1100
- **Mailing address fax:** (210) 494-1117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | — | Yes |
| 261QM2500X | Medical Specialty Clinic/Center | 35045945 | OH | — |

## Other

- **Enumeration date:** 10/17/2014
- **Last updated:** 07/23/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0453790 | — | OH |
| 01 | — | 1720192990 | NPI | — |