Individual provider · Type 1 NPI

Jae Ok Lee, CRNP

Adult Health Nurse Practitioner · Baltimore, MD

NPI number 1073776985 Active

Practice location

601 N Caroline St
Baltimore, MD 21287

Mailing address

921 Ross Building, 720 Rutland Ave
Baltimore, MD 21205-2195

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X2008000547 (MD)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1073776985

Jae Ok Lee, CRNP's National Provider Identifier is 1073776985, issued on Jul 10, 2008. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Baltimore, MD. The record was last updated on Jul 10, 2008.