Individual
JAKE JAESANG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
2016020262
MO
207Y00000X
Otolaryngology Physician
Primary
A197590
CA
207Y00000X
Otolaryngology Physician
MD481433
PA
Other
Enumeration date
06/23/2016
Last updated
10/11/2024
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