Organization
SUZANNE Y LEE MD PC
Active
Other names
Suzanne Y. Lee, M.D., P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUZANNE YOOKYUNG LEE M.D. (PRESIDENT)
(219) 838-9300
Entity
Organization
Contact information
Practice address
9131 INDIANAPOLIS BLVD, HIGHLAND, IN 46322-2504
(219) 838-9300
Mailing address
9131 INDIANAPOLIS BLVD, HIGHLAND, IN 46322-2504
(219) 838-9300
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01034128
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000086700
ANTHEM
—
05
—
100212660 A
—
IN
Enumeration date
10/17/2007
Last updated
05/13/2008
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