Individual
CHON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-9016
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
(336) 716-9016
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
33700
NC
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
33700
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8951411
—
NC
Enumeration date
05/07/2007
Last updated
06/21/2023
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