Individual
YEJIN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC, RN
Contact information
Practice address
46 ALBION ST, BRIDGEPORT, CT 06605-2602
(203) 330-6000
Mailing address
46 ALBION ST, BRIDGEPORT, CT 06605-2602
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
6623
CT
Other
Enumeration date
08/07/2016
Last updated
08/18/2016
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