Individual
MYONGJA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 ALLAIRE AVE, LEONIA, NJ 07605-1802
(609) 481-0347
Mailing address
311 ALLAIRE AVE, LEONIA, NJ 07605-1802
(609) 481-0347
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ14909500
NJ
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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