Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | MD423076 | PA |
Y | 111NI0900X | Internist | MD423076 | PA |
N | 207RA0401X | Internist - Addiction Medicine | MD423076 | PA |
NPI | 1255347878 |
---|---|
Provider Name | Dr. Edward Seunghoon Lee |
First Address | Pittsburgh, PA 15240 |
Second Address | Pittsburgh, PA 15240 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 16/12/2011 |