Individual
KYUNG MIN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
230 W PARKWAY, #10, POMPTON PLAINS, NJ 07444-1060
(973) 835-0800
Mailing address
230 W PARKWAY, #10, POMPTON PLAINS, NJ 07444-1060
(973) 835-0800
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00326000
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ00326000
NJ
Other
Enumeration date
04/13/2011
Last updated
06/11/2014
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