Individual
DR. LOUIS CHOONG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1668 DOMINICAN WAY, SANTA CRUZ, CA 95065-1522
(831) 464-9962
(831) 476-1433
Mailing address
1668 DOMINICAN WAY, SANTA CRUZ, CA 95065-1522
(831) 464-9962
(831) 476-1433
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0116018519
VA
208600000X
Surgery Physician
105436
MN
208600000X
Surgery Physician
54487
MN
208600000X
Surgery Physician
Primary
A121405
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
Enumeration date
05/18/2008
Last updated
06/16/2015
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