Organization
RAPHAEL HEALTHCARE, LLC
Active
Other names
Raphael Healthcare Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MYUNGSOOK LEE RN (PRESIDENT)
(614) 932-7000
Entity
Organization
Contact information
Practice address
6631 COMMERCE PKWY, SUITE Q, DUBLIN, OH 43017-3239
(614) 932-7000
(614) 932-7011
Mailing address
6631 COMMERCE PKWY, SUITE Q, DUBLIN, OH 43017-3239
(614) 932-7000
(614) 932-7011
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
35.092833
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35.092833
OHIO MEDICAL BOARD LICENSE
OH
Enumeration date
11/23/2009
Last updated
11/23/2009
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