Individual
DR. JONG Y LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD436059
PA
207L00000X
Anesthesiology Physician
Primary
ME89153
FL
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
MD436059
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2698528-00
—
FL
05
—
2698528-00
—
PA
01
—
43304
MEDICARE ID/UNSPECIFIED
PA
Enumeration date
07/07/2006
Last updated
08/20/2009
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