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Organization

IL SUNG LEE, M.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. IL SUNG LEE M.D. (PRESIDENT)
(828) 667-5298
Entity
Organization

Contact information

Practice address
123 ACTON CIR, UNIT A, ASHEVILLE, NC 28806-1043
(828) 667-5298
(828) 667-4245
Mailing address
123 ACTON CIR, UNIT A, ASHEVILLE, NC 28806-1043
(828) 667-5298
(828) 667-4245

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
20155
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51514
BCBS
NC
05
8951514
NC
Enumeration date
10/20/2006
Last updated
08/22/2020
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