Individual
JAEOK LUCAS LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACUPUNCTURIST
Contact information
Practice address
130 ALTON CT APT 231, PRINCE FREDERICK, MD 20678-4186
(301) 821-7703
Mailing address
130 ALTON CT APT 231, PRINCE FREDERICK, MD 20678-4186
(301) 821-7703
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U02525
MD
Other
Enumeration date
08/27/2018
Last updated
02/12/2020
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