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Individual
DR. JONGMYEONG LEE
Active
Individual
DR. JONGMYEONG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101269292
VA
207Q00000X
Family Medicine Physician
01078563A
IN
207Q00000X
Family Medicine Physician
462485
PA
Other
Enumeration date
07/10/2006
Last updated
10/13/2021
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