Individual
DAKYEONG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1325 MADISON AVE, FLOWER MOUND, TX 75028-5180
(516) 270-7420
Mailing address
114 COLONY LN, SYOSSET, NY 11791-4725
(516) 270-7420
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
058419
NY
1835G0303X
Geriatric Pharmacist
Primary
03438595
OH
1835G0303X
Geriatric Pharmacist
056364
TX
Other
Enumeration date
02/20/2015
Last updated
03/03/2023
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