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Individual

PROF. MOYUEN MIMI LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8315 CANTRELL RD, PLAZA 80, LITTLE ROCK, AR 72227-2423
(501) 224-0880
(501) 224-1395
Mailing address
8315 CANTRELL RD, PLAZA 80, LITTLE ROCK, AR 72227-2423
(501) 224-0880
(501) 224-1395

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
E2338
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
188290000000
QUALCHOICE
AR
01
5L347
ARKANSAS BLUE CROSS AND BLUE SHIELD
AR
01
P00037405
RAILROAD MEDICARE
AR
Enumeration date
05/25/2006
Last updated
10/22/2008
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