Individual
DR. ISAAC JISUNG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
583 COMMERCE DRIVE, SMELTERVILLE, ID 83868
(208) 783-2739
Mailing address
11904 SW VIEWCREST CT, TIGARD, OR 97224-2573
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P10253
ID
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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