Individual
SEUNG KWON LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7807 LAGUNA BLVD STE 480, ELK GROVE, CA 95758-7953
(916) 242-8499
(916) 405-7440
Mailing address
PO BOX 583211, ELK GROVE, CA 95758-0057
(916) 242-8499
(916) 405-7440
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C54971
CA
Other
Enumeration date
06/11/2005
Last updated
08/23/2022
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