Organization
SUN IK LEE MD INC A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUN IK LEE MD (STAFF PHYSICIAN)
(209) 571-0288
Entity
Organization
Contact information
Practice address
4016 DALE RD, MODESTO, CA 95356-9268
(209) 571-2088
Mailing address
PO BOX 36833, BELFAST, ME 04915-1210
(209) 571-0288
(209) 571-0327
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
09/06/2023
Last updated
11/08/2023
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