Individual
SOYONG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1828 165TH ST, HAMMOND, IN 46320-2823
(219) 763-8112
Mailing address
1828 165TH ST, HAMMOND, IN 46320-2823
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01094280A
IN
Other
Enumeration date
05/24/2021
Last updated
10/16/2024
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