Individual provider · Type 1 NPI

Edwin Minjae Lee, MD

Student in an Organized Health Care Education/Training Program · Providence, RI

NPI number 1902509730 Active

Practice location

593 Eddy St
Providence, RI 02903-4923

Fax (401) 444-4165

Mailing address

6705 Cloverdale Blvd
Bayside, NY 11364-2742

Specialties and licenses

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 1902509730

Edwin Minjae Lee, MD's National Provider Identifier is 1902509730, issued on Mar 22, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Providence, RI. The record was last updated on Mar 25, 2024.