Dr. Soonjae Joseph Lee
Dentist Anesthesiologist
1710 E Lancaster Ave # 311
Paoli
, Pennsylvania 19301-1507
Dr. Soonjae Joseph Lee
Dentist Anesthesiologist
1710 E Lancaster Ave # 311
Paoli
, Pennsylvania 19301-1507
(267) 270-5658
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About
Features
Specialties
- Dentist Anesthesiologist
Languages spoken
- English
Location
First Address
- Dr. Soonjae Joseph Lee
- 1710 E Lancaster Ave # 311
- Paoli, PA
- Zip : 19301-1507
- Phone : (267) 270-5658
Second Address
- Dr. Soonjae Joseph Lee
- 1710 E Lancaster Ave # 311
- Paoli, PA
- Zip : 19301-1507
- Phone : (267) 270-5658
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223D0004X | Dentist Anesthesiologist | 22DI02659400 | NJ |
| Y | 1223D0004X | Dentist Anesthesiologist | DS040281 | PA |
National Provider Identifier
| NPI | 1336532712 |
|---|---|
| Provider Name | Dr. Soonjae Joseph Lee |
| First Address | Paoli, PA 19301-1507 |
| Second Address | Paoli, PA 19301-1507 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/03/2015 |
| Last Update Date | 02/05/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.