Individual
JAE EUN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 PARK ST, BOWLING GREEN, KY 42101-1708
(270) 783-3315
(270) 783-3774
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1708
(270) 781-5111
(270) 783-3774
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
54655
KY
2084N0400X
Neurology Physician
65547
MN
Other
Enumeration date
06/22/2015
Last updated
08/03/2021
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