Individual
AUSTIN JAE MHAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 ELMWOOD AVENUE BOX SURG, ROCHESTER, NY 14642-0001
(760) 371-5276
Mailing address
5522 KENTUCKY AVE, PITTSBURGH, PA 15232-2306
(760) 371-5276
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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