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Individual

JI WON LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
3333 N CALVERT ST STE 400, BALTIMORE, MD 21218-6501
(410) 554-6890
(410) 554-6768
Mailing address
3333 N CALVERT ST STE 400, BALTIMORE, MD 21218-6501
(410) 554-6890
(410) 554-6768

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R193377
MD

Other

Enumeration date
07/12/2012
Last updated
05/28/2013
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