| Doctor Name: | JONGWON LEE |
| NPI Number: | 1477512465 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MD061217L |
| Business Practice Address: | 835 Hospital Rd Indiana, PA - 157013629 |
| Business Phone Number: | 7243577125 |
| Business Fax Number: | 7243577482 |
| Mailing Address: | 7 Acee Dr, NATRONA HEIGHTS |
| State: | PA |
| Postal Code: | 150659700 |
| Phone Number: | 8002235544 |
| Fax Number: | 7242943206 |
| NPI Enumeration Date: | 03/20/2006 |
| NPI Last Update Date: | 11/27/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | MD061217L |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |