Individual
DR. JOHN SANGWON LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
99 PIGEON RD, WILLIMANTIC, CT 06226-1320
(860) 456-4347
Mailing address
99 PIGEON RD, 99 PIGEON RD, WILLIMANTIC, CT 06226-1320
(860) 456-4347
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
016370
CT
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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