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Individual

SANG H. LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
7900 NW 23RD ST, SUITE 1, BETHANY, OK 73008-4961
(405) 241-7745
Mailing address
7900 NW 23RD ST, SUITE 1, BETHANY, OK 73008-4961
(405) 241-7745

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
3864
OK
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
3864
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100113780E
OK
Enumeration date
09/23/2005
Last updated
07/23/2013
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