Organization
KWANG J LEE MD PROFESSIONAL CORPORATION
Active
Other names
Nevada Retina Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KWANG J LEE MD (OWNER PHYSICIAN)
(702) 732-4500
Entity
Organization
Contact information
Practice address
6980 SMOKE RANCH RD, STE 110, LAS VEGAS, NV 89128-8605
(702) 732-4500
(702) 818-1393
Mailing address
6980 SMOKE RANCH RD, STE 110, LAS VEGAS, NV 89128-8605
(702) 732-4500
(702) 818-1393
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
6811
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002019317
—
NV
Enumeration date
02/09/2007
Last updated
06/13/2012
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