Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | 44653 | CO |
Y | 207RH0003X | Hematology & Oncology | DR.0044653 | CO |
NPI | 1194782169 |
---|---|
Provider Name | Choon-Kee Lee |
First Address | Grand Junction, CO 81502-1927 |
Second Address | Montrose, CO 81401-5711 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2006 |
Last Update Date | 07/09/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1194782169 | (05) | WY |
26074265 | (05) | CO |