Individual
JOOHOON LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
17104 VALLEY CRST, EDMOND, OK 73012-6733
(405) 861-4929
Mailing address
17104 VALLEY CRST, EDMOND, OK 73012-6733
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
218075
OK
Other
Enumeration date
04/10/2026
Last updated
04/10/2026
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