Individual
SUNG AE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
820 W. RAVINA LANE, ANTHEM, AZ 85086
(623) 433-9904
Mailing address
820 W. RAVINA LANE, ANTHEM, AZ 85086
(623) 433-9904
(623) 433-9904
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
10188
OK
2085R0001X
Radiation Oncology Physician
33131
MO
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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