Individual
JONG H LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4325 N JOSEY LN, STE 103, CARROLLTON, TX 75010-4635
(972) 395-7131
(972) 395-7585
Mailing address
4325 N JOSEY LN, STE 103, CARROLLTON, TX 75010-4635
(972) 395-7131
(972) 395-7585
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
L2406
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162987502
—
TX
Enumeration date
04/05/2006
Last updated
04/23/2009
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