Individual
INKU K LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 MERIDEN AVE STE 3G, SOUTHINGTON, CT 06489-3237
(860) 276-5107
(860) 276-5173
Mailing address
55 MERIDEN AVE STE 3G, SOUTHINGTON, CT 06489-3237
(860) 276-5107
(860) 276-5173
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
022527
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001225275
—
CT
Enumeration date
11/17/2005
Last updated
04/16/2013
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