Dr. Eunjin Lee, MD
Internal Medicine, Hospice and Palliative Medicine in Prescott, AZ. Individual provider (NPI-1).
NPI number1730678343
StatusActive
Last updated in NPPESFeb 17, 2025
Details
- NPI
- 1730678343
- Entity type
- Individual (NPI-1)
- Name
- Dr. Eunjin Lee
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 9, 2018
- Certification date
- Feb 17, 2025
- Last updated
- Feb 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RH0002X | Internal Medicine, Hospice and Palliative Medicine | R78485 | AZ | Yes |
| 207R00000X | Internal Medicine | R78485 | AZ | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1001 Division StPrescott, AZ 86301-1601
Phone 928-775-5567 · Fax 928-772-1522
Mailing address
Po Box 10880Prescott, AZ 86304-0880
Phone 602-406-4786 · Fax 916-636-4358
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