Provider Demographics
NPI:1447075726
Name:LEE, JANE JUNGHEE
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:JUNGHEE
Last Name:LEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2339 IRVING ST STE 200
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-1620
Mailing Address - Country:US
Mailing Address - Phone:415-221-1591
Mailing Address - Fax:972-323-8712
Practice Address - Street 1:2339 IRVING ST STE 200
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94122-1620
Practice Address - Country:US
Practice Address - Phone:415-221-1591
Practice Address - Fax:972-323-8712
Is Sole Proprietor?:No
Enumeration Date:2024-11-20
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic