Doctor Name: | DR. JUNG HUN LEE |
NPI Number: | 1396743928 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | R8562 |
Business Practice Address: | 170 Industrial Dr. Medical Village Bldg, Suite 105 Crystal City, MO - 63019 |
Business Phone Number: | 6369370817 |
Business Fax Number: | 6369378818 |
Mailing Address: | Po Box 309, CRYSTAL CITY |
State: | MO |
Postal Code: | 630190309 |
Phone Number: | 6369370817 |
Fax Number: | 6369378818 |
NPI Enumeration Date: | 07/08/2005 |
NPI Last Update Date: | 04/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | R8562 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |