Jin-Moo Lee is a Vascular Neurology in Saint Louis, Missouri. Jin-Moo Lee practices all healthcare services and medical treatments related to Vascular Neurology. The NPI Number for Jin-Moo Lee is 1366460008. The last update date is 2021-11-12.
Jin-Moo Lee's current location address is 660 S Euclid Ave, Saint Louis, Missouri. You can contact this provider via phone number 3143621408 and fax number 3147473342. The mailing address for Jin-Moo Lee is 660 S Euclid Ave, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jin-Moo Lee |
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Address | 660 S Euclid Ave, Saint Louis, Missouri |
Phone Number | 3143621408 |
Fax Number | 3147473342 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1366460008 |
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Provider Enumeration Date | 2006-07-18 |
Last Updated Date | 2021-11-12 |
Provider Mailing Address Detail
Address | 660 S Euclid Ave |
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City | Saint Louis |
State | Missouri (MO) |
Post Code | 631101010 |
Phone Number | 3143621408 |
Fax Number | 3147473342 |
Provider's Primary Taxonomy Detail
Speciality | Vascular Neurology |
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Taxonomy | 2084V0102X |
Licence No | 112694 |
Definition: Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a lar |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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209682905 | MO | -- |
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What is the unique 10-digit identifier code issued to Jin-Moo Lee by the Centers for Medicare & Medicaid Services?
The Jin-Moo Lee has been assigned the NPI (National Provider Identifier) 1366460008 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Jin-Moo Lee located?
The Jin-Moo Lee is located at 660 S Euclid Ave, Saint Louis, MO 631101010.
What is Jin-Moo Lee's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jin-Moo Lee is Vascular Neurology, and the taxonomy code that classifies this field of practice is 2084V0102X.
On what date did Jin-Moo Lee receive its 1366460008 assignment from the Centers for Medicare & Medicaid Services?
The Jin-Moo Lee was assigned its 1366460008 on 2006-07-18, 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 Jin-Moo Lee's details last updated?
The information pertaining to the Jin-Moo Lee, including its address, specialty, and other details, was most recently updated on 2021-11-12.
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