Individual
JANE SOOHYUN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4961 LACLEDE AVE APT 205, SAINT LOUIS, MO 63108-1436
(314) 480-0110
Mailing address
4961 LACLEDE AVE APT 205, SAINT LOUIS, MO 63108-1436
(314) 480-0110
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
80058-20
WI
Other
Enumeration date
07/05/2018
Last updated
08/22/2023
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