Individual provider · Type 1 NPI

Yaejun Lee

Student in an Organized Health Care Education/Training Program · Newark, NJ

NPI number 1356780951 Active

Practice location

110 Bergen St, Department Of Oral Medicine D-882
Newark, NJ 07103-2495

Call (917) 288-7371 Map

Mailing address

110 Bergen St Dept Of
Newark, NJ 07103-2495

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1356780951

Yaejun Lee's National Provider Identifier is 1356780951, issued on Jun 18, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Newark, NJ. The record was last updated on Jun 18, 2013.