Individual
DR. JAEWON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
888 SWIFT BLVD, RICHLAND, WA 99352-3514
(509) 946-4611
(509) 942-2812
Mailing address
550 GAGE BLVD STE 101, RICHLAND, WA 99352-9532
(509) 473-0637
(509) 627-2983
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD61134383
WA
2086S0102X
Surgical Critical Care Physician
MD61134383
WA
2086S0127X
Trauma Surgery Physician
MD61134383
WA
Other
Enumeration date
03/28/2013
Last updated
07/29/2024
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