Organization
JUNG H. LEE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUNG H. LEE M.D. (CEO)
(636) 937-0817
Entity
Organization
Contact information
Practice address
170 INDUSTRIAL DR, SUITE 105, FESTUS, MO 63028-4106
(636) 937-0817
(636) 937-8818
Mailing address
PO BOX 309, CRYSTAL CITY, MO 63019-0309
(636) 937-0817
(636) 937-8818
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
R8562
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200016202
—
MO
Enumeration date
06/01/2007
Last updated
01/03/2012
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