Jae Young Lee in Marine City - Internal Medicine
Jae Young Lee - NPI 1104826973
Jae Young Lee is a Internal Medicine in Marine City, Michigan. Jae Young Lee practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jae Young Lee is 1104826973. The last update date is 2011-01-14.
Jae Young Lee's current location address is 130 Washington St, Marine City, Michigan. You can contact this provider via phone number 8107658844 and fax number 8107654326. The mailing address for Jae Young Lee is 130 Washington St, Marine City, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jae Young Lee |
|---|---|
| Address | 130 Washington St, Marine City, Michigan |
| Phone Number | 8107658844 |
| Fax Number | 8107654326 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1104826973 |
|---|---|
| Provider Enumeration Date | 2005-07-22 |
| Last Updated Date | 2011-01-14 |
Provider Mailing Address Detail
| Address | 130 Washington St |
|---|---|
| City | Marine City |
| State | Michigan (MI) |
| Post Code | 480391680 |
| Phone Number | 8107658844 |
| Fax Number | 8107654326 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 4301033400 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1068960 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jae Young Lee by the Centers for Medicare & Medicaid Services?
The Jae Young Lee has been assigned the NPI (National Provider Identifier) 1104826973 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Jae Young Lee is located?
The Jae Young Lee is situated at the following address: 130 Washington St, Marine City, MI, 480391680.
What is the Jae Young Lee's area of specialization and corresponding taxonomy classification?
The Jae Young Lee's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1104826973 to Jae Young Lee?
The Centers for Medicare & Medicaid Services assigned the 1104826973 to Jae Young Lee on 2005-07-22.
As of what date was the information pertaining to Jae Young Lee, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jae Young Lee, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-01-14.
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