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Individual

DR. SEUNG J LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
22 S GREENE STREET, BALTIMORE, MD 21264-0001
(410) 328-6331
Mailing address
PO BOX 64374, BALTIMORE, MD 21264-4374
(410) 328-6331

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
D0066208
MD
207L00000X
Anesthesiology Physician
D0066208
MD
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
D0066208
MD
208VP0014X
Interventional Pain Medicine Physician
D0066208
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
412978400
MD
Enumeration date
07/30/2007
Last updated
11/02/2009
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