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Individual
LUKE JIN LEE
Active
Individual
LUKE JIN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31008403A
IN
225X00000X
Occupational Therapist
520103665
MI
Other
Enumeration date
06/20/2024
Last updated
06/05/2025
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