Jae Young Lee Md Pc in Marine City - Internal Medicine

Jae Young Lee Md Pc - NPI 1811155039

Jae Young Lee Md Pc is a Internal Medicine in Marine City, Michigan. Jae Young Lee Md Pc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jae Young Lee Md Pc is 1811155039. The last update date is 2010-12-29.

Jae Young Lee Md Pc'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 Md Pc is 130 Washington St, Marine City, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jae Young Lee Md Pc
Address 130 Washington St, Marine City, Michigan
Phone Number 8107658844
Fax Number 8107654326
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Lee Young Jae
Credentials MD PC
Telephone Number 8107658844

NPI Number Detail

NPI Number 1811155039
Provider Enumeration Date 2008-05-23
Last Updated Date 2010-12-29

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
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1068960 MI --

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FAQs about Jae Young Lee Md Pc

What is the unique 10-digit identifier code assigned to Jae Young Lee Md Pc by the Centers for Medicare & Medicaid Services?

The Jae Young Lee Md Pc has been issued the NPI (National Provider Identifier) 1811155039 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Where is the Jae Young Lee Md Pc located?

The Jae Young Lee Md Pc is located at 130 Washington St, Marine City, MI 480391680.

What is Jae Young Lee Md Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jae Young Lee Md Pc is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.

On what date did Jae Young Lee Md Pc receive its 1811155039 assignment from the Centers for Medicare & Medicaid Services?

The Jae Young Lee Md Pc was assigned its 1811155039 on 2008-05-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Jae Young Lee Md Pc last refreshed?

The information related to the Jae Young Lee Md Pc, including its address, specialty, and other relevant details, was last updated on 2010-12-29.

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