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Individual

DR. JIN LEE

Active
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Individual

DR. JIN LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
224917
MA
207N00000X
Dermatology Physician
247406-1
NY
207N00000X
Dermatology Physician
50381
CO
207N00000X
Dermatology Physician
Primary
A109932
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
022236
KAISER COMMERCIAL NUMBER
CO
05
53970845
CO
Enumeration date
03/11/2008
Last updated
06/24/2013
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