Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 7478 | CO |
NPI | 1134218217 |
---|---|
Provider Name | Seung Hun Lee |
First Address | Aurora, CO 80012-3413 |
Second Address | Aurora, CO 80012-3263 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2006 |
Last Update Date | 28/01/2014 |