Eui-Dong Lee is a Surgery in Paw Paw, Michigan. Eui-Dong Lee practices all healthcare services and medical treatments related to Surgery. The NPI Number for Eui-Dong Lee is 1861479891. The last update date is 2009-09-16.
Eui-Dong Lee's current location address is 404 Hazen St, Paw Paw, Michigan. You can contact this provider via phone number 2696574407 and fax number 2696570965. The mailing address for Eui-Dong Lee is 404 Hazen St, Paw Paw, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eui-Dong Lee |
|---|---|
| Address | 404 Hazen St, Paw Paw, Michigan |
| Phone Number | 2696574407 |
| Fax Number | 2696570965 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1861479891 |
|---|---|
| Provider Enumeration Date | 2005-12-30 |
| Last Updated Date | 2009-09-16 |
Provider Mailing Address Detail
| Address | 404 Hazen St |
|---|---|
| City | Paw Paw |
| State | Michigan (MI) |
| Post Code | 490791040 |
| Phone Number | 2696574407 |
| Fax Number | 2696570965 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 4301032196 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 700H060020 | MI | BCBSM | |
| 1861479891 | MI | -- | |
| 104994926 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Eui-Dong Lee by the Centers for Medicare & Medicaid Services?
The Eui-Dong Lee has been assigned the NPI (National Provider Identifier) 1861479891. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Eui-Dong Lee is geographically located?
The Eui-Dong Lee is physically situated at the following location: 404 Hazen St, Paw Paw, MI, 490791040.
What is Eui-Dong Lee's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Eui-Dong Lee is Surgery, and the corresponding taxonomy classification code for this specialized field is 208600000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1861479891 to Eui-Dong Lee?
The Centers for Medicare & Medicaid Services originally issued the 1861479891 to Eui-Dong Lee on 2005-12-30.
As of what date were the details pertaining to Eui-Dong Lee last refreshed?
The information related to the Eui-Dong Lee, including its address, specialty, and other relevant details, was last updated on 2009-09-16.