Individual
DR. SUNGHOON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1229 E SEMINOLE ST, SUITE 220, SPRINGFIELD, MO 65804-2227
(417) 820-5150
(417) 820-5155
Mailing address
PO BOX 505164, SAINT LOUIS, MO 63150-5164
(417) 820-2000
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
2003009178
MO
207T00000X
Neurological Surgery Physician
E11207
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209032606
—
MO
05
—
209032614
—
MO
Enumeration date
07/17/2006
Last updated
07/08/2019
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