Individual
HAEJUN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4301 WILSON ST, FORT SILL, OK 73503-4472
(831) 227-0732
Mailing address
4301 WILSON ST, FORT SILL, OK 73503-4472
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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