Seung Kwon Lee, MD | |
7807 Laguna Blvd Ste 480, Elk Grove, CA 95758-7953 | |
(916) 242-8499 | |
(916) 405-7440 |
Full Name | Seung Kwon Lee |
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Gender | Male |
Speciality | Surgery |
Location | 7807 Laguna Blvd Ste 480, Elk Grove, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700880267 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | C54971 (California) | Primary |
Entity Name | S Kwon Lee Md Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851661953 PECOS PAC ID: 5092975748 Enrollment ID: O20120404000583 |
Mailing Address | Practice Location Address |
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Seung Kwon Lee, MD Po Box 583211, Elk Grove, CA 95758-0057 Ph: (916) 242-8499 | Seung Kwon Lee, MD 7807 Laguna Blvd Ste 480, Elk Grove, CA 95758-7953 Ph: (916) 242-8499 |
Dr. Shine Shong Lin, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 10121 Annie St, Elk Grove, CA 95757 Phone: 916-226-1931 | |
Zeenat Rubab Hasan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 8220 Wymark Dr Ste 200, Elk Grove, CA 95757 Phone: 916-667-0600 Fax: 916-683-0232 | |
Dr. Ajay Nilkanth Ranade, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 8220 Wymark Dr, Elk Grove, CA 95757 Phone: 916-667-0600 Fax: 916-683-0232 |