| Mr Jimmy Seung-sup Lee, | |
|
1290 Tavern Rd, Mammoth Lakes, CA 93546-6601 | |
| (760) 924-1740 | |
| Not Available |
| Full Name | Mr Jimmy Seung-sup Lee |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse - Psychiatric/mental Health |
| Location | 1290 Tavern Rd, Mammoth Lakes, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689334930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 790804 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jimmy Seung-sup Lee, Po Box 100 Pmb 352, Mammoth Lakes, CA 93546 Ph: (310) 422-8005 | Mr Jimmy Seung-sup Lee, 1290 Tavern Rd, Mammoth Lakes, CA 93546-6601 Ph: (760) 924-1740 |
Eriko Suzuki, R.N., M.S., N.P. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 85 Sierra Park Rd, Mammoth Lakes, CA 93546 Phone: 760-934-2551 Fax: 760-925-4013 | |
Carolyn Korfiatis, FNP-BC Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 85 Sierra Park Rd, Mammoth Lakes, CA 93546 Phone: 509-205-1503 | |
Kristen Anne Dorough, RNFA Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 85 Sierra Park Rd, Mammoth Lakes, CA 93546 Phone: 760-934-3311 | |
Deanna S Dean, BSN, RN, CNOR, RNASC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 85 Sierra Park Road, Po Box 660, Mammoth Lakes, CA 93546 Phone: 760-934-3311 Fax: 760-934-7285 |