Individual
JASON JWO LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A193554
CA
2085R0202X
Diagnostic Radiology Physician
R77335
AZ
208600000X
Surgery Physician
R77335
AZ
Other
Enumeration date
04/11/2019
Last updated
05/01/2026
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