Individual
LIKUN FANG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
305 W ROE BLVD, PATCHOGUE, NY 11772-2333
(516) 690-0027
Mailing address
PO BOX 40313, GLEN OAKS, NY 11004-0313
(516) 690-0027
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
002948
NY
Other
Enumeration date
07/18/2007
Last updated
07/18/2007
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