Individual
YONGSOO LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
291 LIBERTY ST APT 49, LITTLE FERRY, NJ 07643-1368
(316) 708-9379
Mailing address
291 LIBERTY ST APT 49, LITTLE FERRY, NJ 07643-1368
(316) 708-9379
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ01009600
NJ
Other
Enumeration date
01/20/2020
Last updated
01/20/2020
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