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Organization

J. W. LEE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JI WOO LEE M.D. (PRESIDENT)
(513) 865-5050
Entity
Organization

Contact information

Practice address
10500 MONTGOMERY RD, CINCINNATI, OH 45242
(513) 865-5050
(813) 865-5050
Mailing address
2935 THOUSAND OAKS, SUITE 294, SAN ANTONIO, TX 78247-3312
(210) 494-1100
(210) 494-1117

Taxonomy

Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
261QM2500X
Medical Specialty Clinic/Center
35045945
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0453790
OH
01
1720192990
NPI
Enumeration date
10/17/2014
Last updated
07/23/2019
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