Individual
DR. ANNE EUN YOUNG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
804 SERVICE RD # D100, EAST LANSING, MI 48824-7015
(517) 353-5053
(517) 432-4394
Mailing address
804 SERVICE RD # A201, EAST LANSING, MI 48824-7015
(517) 884-2976
(517) 432-3928
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5101019325
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649554767
—
MI
01
—
5101019325
DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS - EDUCATIONAL LIMITED LICENSE
MI
Enumeration date
10/07/2011
Last updated
09/15/2016
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