Individual
DR. THOMAS KEYWON LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1 HOAG DR, NEWPORT BEACH, CA 92663-4162
(949) 764-4624
(949) 764-5435
Mailing address
2901 W COAST HWY STE 200, NEWPORT BEACH, CA 92663-4045
(949) 891-1297
(949) 625-8010
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
T1602
MD
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A106146
CA
Other
Enumeration date
01/22/2007
Last updated
02/10/2020
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