| Jae Yong Lee Do Llc | |
|
14100 E Arapahoe Rd Suite 360 Centennial CO 80112-4028 | |
| (303) 699-3197 | |
| (303) 699-3186 |
| Full Name | Jae Yong Lee Do Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 14100 E Arapahoe Rd, Centennial, Colorado |
| Authorized Official Name and Position | Jae Yong Lee (PHYSICAN) |
| Authorized Official Contact | 3036993197 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jae Yong Lee Do Llc 14100 E Arapahoe Rd Suite 360 Centennial CO 80112-4028 Ph: (303) 699-3197 | Jae Yong Lee Do Llc 14100 E Arapahoe Rd Suite 360 Centennial CO 80112-4028 Ph: (303) 699-3197 |
| NPI Number | 1598866907 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 07/11/2014 |
| Medicare PECOS PAC ID | 1254234305 |
|---|---|
| Medicare Enrollment ID | O20040128000354 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598866907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 41591 (Colorado) | Primary |
| Provider Name | Jae Y Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114918588 PECOS PAC ID: 5395648455 Enrollment ID: I20040212000353 |
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