Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | ME144961 | FL |
NPI | 1225492416 |
---|---|
Provider Name | Dr. Seon Wook Lee |
First Address | Temple Terrace, FL 33637-0904 |
Second Address | Temple Terrace, FL 33637-0904 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2016 |
Last Update Date | 27/05/2020 |