Individual
JOHN K LEE
Active
Individual
JOHN K LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
35836
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104455760
—
MI
01
—
300136760
RAILROAD
WI
05
—
34296700
—
WI
Enumeration date
06/30/2006
Last updated
10/16/2012
Update your record
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