Individual provider · Type 1 NPI

Bonavian Han Lee

Student in an Organized Health Care Education/Training Program · Jbsa Fort Sam Houston, TX

NPI number 1720567142 Active

Practice location

3551 Roger Brooke Dr
Jbsa Fort Sam Houston, TX 78234-4504

Call (210) 916-8516 Map

Fax (210) 916-0005

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 1720567142

Bonavian Han Lee's National Provider Identifier is 1720567142, issued on Aug 7, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jbsa Fort Sam Houston, TX. The record was last updated on Aug 7, 2018.