Individual
JUNG EUN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 GEORGE ST, NEW HAVEN, CT 06511-5410
(203) 688-5474
(203) 688-3596
Mailing address
80 HOWE, APT 202, NEW HAVEN, CT 06511
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/14/2012
Last updated
06/14/2012
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