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Individual

DR. B. EUN LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
233 EAST AVE, LOCKPORT, NY 14094-3812
(716) 433-5269
(716) 433-6005
Mailing address
233 EAST AVE, LOCKPORT, NY 14094-3812
(716) 433-5269
(716) 433-6005

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
130038-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00629245
NY
Enumeration date
05/05/2006
Last updated
01/06/2009
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