Individual
ELIZABETH KYUNGHEE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOM
Contact information
Practice address
2960 CECIL RD, CAMPBELLTON, FL 32426-7253
(847) 910-4299
Mailing address
2960 CECIL RD, CAMPBELLTON, FL 32426-7253
(847) 910-4299
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
398
GA
171100000X
Acupuncturist
Primary
AP1015
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
398
ACUPUNCTURIST LICENSE
GA
01
—
AP1015
AP LICENSE
FL
Enumeration date
02/26/2019
Last updated
02/26/2019
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