Individual
JOANNA SONG LEE
Active
Individual
JOANNA SONG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
C176275
CA
2086X0206X
Surgical Oncology Physician
R2152
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374981401
—
TX
Enumeration date
03/28/2011
Last updated
03/21/2024
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