Theresa Junghyun Lee CRNA

NPI 1073896130 - Registered Nurse - 163W00000X

NPI Details
NPI 1073896130
Gender Female
Enumeration Date 09/26/2011
Last Updated 03/23/2016
Entity Type Individual
Active Over 5 years ago
Practice Location
320 WHITTINGTON PKWY
SUITE 301
LOUISVILLE KY, 40222-4928, US
Phone (502) 625-5584
Fax (502) 426-2264
Business Location
320 WHITTINGTON PKWY
SUITE 301
LOUISVILLE KY, 40222-4928, US
Phone (502) 625-5584
Fax (502) 459-0923
Toxanomy
Taxonomy Code 163W00000X
License State Kentucky
License Number 1141724
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According to our database, Ms. Theresa Junghyun Lee CRNA NPI is 1073896130, taxonomy code is 163W00000X and license number is 1141724, license state is located at Kentucky. Theresa Junghyun Lee CRNA physically located at 320 Whittington Pkwy, Louisville KY, 40222-4928. NPI Number Theresa Junghyun Lee CRNA has the Individual type.

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1073896130 NPI number is provided on an as is basis without warranty of any kind. 1073896130 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa Junghyun Lee CRNA are for informational purposes only.