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Individual

SOO JUNG LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, FNP-BC

Contact information

Practice address
3400 WAKE FOREST RD, RALEIGH, NC 27609-7317
(919) 954-3000
Mailing address
6401 LAKES ROCK DR UNIT 319, RALEIGH, NC 27609-3251

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5021156
NC
364SF0001X
Family Health Clinical Nurse Specialist
5021156
NC
364SF0001X
Family Health Clinical Nurse Specialist
F354891
NY

Other

Enumeration date
11/09/2024
Last updated
02/11/2025
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