Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4301113554 | MI |
N | 111NI0900X | Internist | 4301113554 | MI |
Y | 207RR0500X | Rheumatology | 4301113554 | MI |
NPI | 1093004343 |
---|---|
Provider Name | Jiha Lee |
First Address | Ann Arbor, MI 48108-1633 |
Second Address | Ann Arbor, MI 48109 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2011 |
Last Update Date | 26/12/2018 |