Individual
DR. EDWARD SEUNGHOON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
444 W FORT ST FL 2, BOISE, ID 83702-4535
(208) 422-1018
Mailing address
444 W FORT ST FL 2, BOISE, ID 83702-4535
(208) 422-1018
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD423076
PA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
MD423076
PA
Other
Enumeration date
08/01/2006
Last updated
08/17/2023
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