Kwanoo Lee
Podiatrist, Foot & Ankle Surgery in Houston, TX. Individual provider (NPI-1).
NPI number1164084240
StatusActive
Last updated in NPPESAug 18, 2023
Details
- NPI
- 1164084240
- Entity type
- Individual (NPI-1)
- Name
- Kwanoo Lee
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 28, 2019
- Certification date
- Aug 14, 2023
- Last updated
- Aug 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | 692080 | TX | Yes |
Practice location
17215 Red Oak Dr Ste 102Houston, TX 77090-2611
Phone 281-444-4114
Mailing address
17215 Red Oak DrHouston, TX 77090-2697
Phone 281-444-4114
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