Individual provider · Type 1 NPI
Kwang Yeon Carol Lee
Acute Care Nurse Practitioner · Orange, CA
NPI number
1164022448
Active
Practice location
101 The City Dr S
Orange, CA 92868-3298
Mailing address
2119 Winterwood Dr
Fullerton, CA 92833-1251
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 95015771 (CA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1164022448
Kwang Yeon Carol Lee's National Provider Identifier is 1164022448, issued on Oct 27, 2020. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Orange, CA. The record was last updated on Oct 27, 2020.