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Individual

YOUNG J LEE

Active
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Individual

YOUNG J LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
12953
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000144640
MT STATE BCBS
WV
05
0119218000
WV
05
0507526
OH
01
12953
HEALTH PLAN OF UPPER OH V
01
P00191582
RAILROAD MEDICARE
WV
Enumeration date
03/07/2006
Last updated
10/16/2007
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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