Individual
JUKWANG LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
251 SOLLAS CT, RIDGEWOOD, NJ 07450-2815
(201) 273-3400
Mailing address
251 SOLLAS CT, RIDGEWOOD, NJ 07450-2815
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00150700
NJ
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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