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Contact Information

JUNG H LEE, MD
170 INDUSTRIAL DR.
MEDICAL VILLAGE BLDG, SUITE 105
CRYSTAL CITY, MO63019
 Phone: 636-937-0817
 Fax: 636-937-8818
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JUNG H LEE · (Male)

NPI # 1396743928
Status Active
Credentials MD
Entity Individual
Enumeration date 07/08/2005
Last updated 04/15/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MO License # R8562
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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