Individual
JI HYE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
970 E. WASHINGTON ST. 2F, MEDINA, OH 44256-2181
(330) 723-7999
Mailing address
970 E. WASHINGTON ST. 2F, MEDINA, OH 44256-2181
(330) 723-7999
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN. 333897
OH
363LA2200X
Adult Health Nurse Practitioner
COA. 12300-NP
OH
Other
Enumeration date
03/17/2011
Last updated
04/20/2011
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