Myeong Jae Lee L.AC

NPI 1033501234 - Acupuncturist - 171100000X

NPI Details
NPI 1033501234
Gender Male
Enumeration Date 02/24/2015
Last Updated 01/08/2016
Entity Type Individual
Active Over 1 year ago
Practice Location
6540 LUSK BLVD STE C139
SAN DIEGO CA, 92121-2696, US
Phone (619) 337-4096
Fax (858) 348-8091
Business Location
6540 LUSK BLVD STE C139
SAN DIEGO CA, 92121-2696, US
Phone (619) 337-4096
Fax
Toxanomy
Taxonomy Code 171100000X
License State California
License Number 14772
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According to our database, Myeong Jae Lee L.AC NPI is 1033501234, taxonomy code is 171100000X and license number is 14772, license state is located at California. Myeong Jae Lee L.AC physically located at 6540 Lusk Blvd Ste C139, San Diego CA, 92121-2696. NPI Number Myeong Jae Lee L.AC has the Individual type.

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1033501234 NPI number is provided on an as is basis without warranty of any kind. 1033501234 is maintained by the National Plan & Provider Enumeration System. The contents of Myeong Jae Lee L.AC are for informational purposes only.