# KONG WING LEE MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LEE MEDICAL CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962587642
- **Authorized official:** KONG WING LEE M.D. (MEDICAL DOCTOR)
- **Authorized official phone:** (405) 528-3888

## Contact information

- **Practice address:** 1119 NW 25TH ST, OKLAHOMA CITY, OK 73106-5646
- **Practice address phone:** (405) 528-3888
- **Practice address fax:** (405) 528-3885
- **Mailing address:** PO BOX 3802, EDMOND, OK 73083-3802
- **Mailing address phone:** (405) 528-3888
- **Mailing address fax:** (405) 528-3885

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 22966 | OK | Yes |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 01/02/2008