Individual
FRED THOMAS JUNFEI LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4275 BURNHAM AVE STE 230, LAS VEGAS, NV 89119
(702) 686-0707
(702) 733-6899
Mailing address
2251 N RAMPART BLVD # 338, LAS VEGAS, NV 89128-7640
(702) 686-0707
(702) 733-6899
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
17930
NV
208600000X
Surgery Physician
47951
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457593238
—
NV
Enumeration date
03/25/2009
Last updated
05/04/2021
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