Individual
SOO WOONG LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5402 OVERALND ROAD, BOISE, ID 83705
(208) 377-4514
(208) 377-4549
Mailing address
5402 OVERALND ROAD, BOISE, ID 83705
(208) 377-4514
(208) 377-4549
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
335
ID
Other
Enumeration date
02/22/2008
Last updated
02/22/2008
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