Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | MT197037 | PA |
N | 208000000X | Pediatrician | MD448380 | PA |
N | 208000000X | Pediatrician | MT197037 | PA |
Y | 2080P0201X | Pediatric Allergist | MD448380 | PA |
NPI | 1790097061 |
---|---|
Provider Name | Juhee Lee |
First Address | Philadelphia, PA 19107-3323 |
Second Address | Philadelphia, PA 19104-4319 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2010 |
Last Update Date | 06/04/2016 |