Individual
JAE EUN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
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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