Individual
JI WON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
620 HOWARD AVE, ALTOONA, PA 16601-4804
(814) 889-2011
Mailing address
2 HOT METAL STREET, QUANTUM ONE STE N357, PITTSBURGH, PA 15203-2348
(412) 432-5868
(412) 647-4486
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS020767
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/13/2019
Last updated
07/18/2022
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