Individual
DR. SANG GANG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
615 S 32ND ST, MUSKOGEE, OK 74401
(918) 687-3994
(918) 687-1809
Mailing address
615 S 32ND ST, MUSKOGEE, OK 74401
(918) 687-3994
(918) 687-1809
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
16383
OK
207RP1001X
Pulmonary Disease Physician
Primary
16383
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100210940A
—
OK
01
—
110113959
RAILROAD MEDICARE
—
Enumeration date
06/09/2006
Last updated
04/23/2014
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