Individual
ANDY PO-CHANG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
98-1079 MOANALUA RD, AIEA, HI 96701-4713
(808) 485-4300
Mailing address
95-1085 INANA ST, MILILANI, HI 96789-6597
(808) 779-5460
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD12345
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A003
CHAMPUS
HI
01
—
A019
CHAMPUS
HI
Enumeration date
07/05/2006
Last updated
07/08/2007
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