Jong Lee is a Sports Medicine in Ypsilanti, Michigan. Jong Lee practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Jong Lee is 1548317811. The last update date is 2021-05-06.
Jong Lee's current location address is 5315 Elliott Dr Ste 304, Ypsilanti, Michigan. You can contact this provider via phone number 7347120655 and fax number 7347120611. The mailing address for Jong Lee is 5315 Elliott Dr Ste 304, Ypsilanti, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jong Lee |
|---|---|
| Address | 5315 Elliott Dr Ste 304, Ypsilanti, Michigan |
| Phone Number | 7347120655 |
| Fax Number | 7347120611 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1548317811 |
|---|---|
| Provider Enumeration Date | 2007-01-05 |
| Last Updated Date | 2021-05-06 |
Provider Mailing Address Detail
| Address | 5315 Elliott Dr Ste 304 |
|---|---|
| City | Ypsilanti |
| State | Michigan (MI) |
| Post Code | 481978634 |
| Phone Number | 7347120655 |
| Fax Number | 7347120611 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 4301094671 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 727396 | IA | -- |
Post Comment/ Review Below
What is the Jong Lee's unique identification number?
The Jong Lee has been assigned the NPI (National Provider Identifier) Number 1548317811 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Jong Lee's physical address?
The Jong Lee is physically located at 5315 Elliott Dr Ste 304, in the city of Ypsilanti, MI, with the postal code 481978634.
What is Jong Lee's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jong Lee is Sports Medicine, and the corresponding taxonomy classification code for this specialized field is 207Qs0010X.
On what date did the Jong Lee receive the assignment of its 1548317811 from the Centers for Medicare & Medicaid Services?
The Jong Lee was issued its 1548317811 by the Centers for Medicare & Medicaid Services on 2007-01-05.
As of what date was the information regarding Jong Lee, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jong Lee, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-05-06.