Individual
WON SUN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 UNIVERSITY BLVD, UH 3005, INDIANAPOLIS, IN 46202-5149
(317) 944-2167
(317) 944-2305
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01071980A
IN
207Q00000X
Family Medicine Physician
MD153755
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200032000
—
IN
05
—
500634842
—
OR
Enumeration date
07/19/2006
Last updated
12/03/2020
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