Taek-Soo Lee
Student in an Organized Health Care Education/Training Program in Dallas, TX. Individual provider (NPI-1).
NPI number1194510941
StatusActive
Last updated in NPPESApr 11, 2025
Details
- NPI
- 1194510941
- Entity type
- Individual (NPI-1)
- Name
- Taek-Soo Lee
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 11, 2025
- Certification date
- Apr 11, 2025
- Last updated
- Apr 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
5323 Harry Hines Blvd Stop 7200Dallas, TX 75390-7200
Phone 214-648-3433
Mailing address
12907 Innisbrook DrBeltsville, MD 20705-5104
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