| John Mansung Lee,m.d. | |
|
1124 Mace Ave Baltimore MD 21221-3315 | |
| (410) 391-6996 | |
| (410) 687-6877 |
| Full Name | John Mansung Lee,m.d. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1124 Mace Ave, Baltimore, Maryland |
| Authorized Official Name and Position | John Mansung Lee (PRESIDENT) |
| Authorized Official Contact | 4103916996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John Mansung Lee,m.d. 1124 Mace Ave Baltimore MD 21221-3315 Ph: (410) 391-6996 | John Mansung Lee,m.d. 1124 Mace Ave Baltimore MD 21221-3315 Ph: (410) 391-6996 |
| NPI Number | 1285070870 |
|---|---|
| Provider Enumeration Date | 05/22/2013 |
| Last Update Date | 08/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285070870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D75880 (Maryland) | Primary |
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