Individual
JEONGAH LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1585 KAPIOLANI BLVD STE 1800, HONOLULU, HI 96814-4500
(808) 545-2800
(808) 262-3744
Mailing address
1401 S BERETANIA ST STE 250, HONOLULU, HI 96814-1876
(808) 545-2800
(808) 262-3744
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
78619
HI
363LW0102X
Women's Health Nurse Practitioner
Primary
3109
HI
Other
Enumeration date
06/29/2020
Last updated
01/03/2025
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