Individual
CHUNG SENG LEE
Active
Individual
CHUNG SENG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01029687A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0480939
—
OH
05
—
100055070
—
IN
01
—
110002008
RR MEDICARE
IN
Enumeration date
05/23/2005
Last updated
03/13/2015
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