Provider Demographics
NPI:1871281725
Name:LEE, JUYUN (MD)
Entity type:Individual
Prefix:MR
First Name:JUYUN
Middle Name:
Last Name:LEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1319 PUNAHOU STREET, #741
Mailing Address - Street 2:DAWN DURAL, UNIVERSITY OF HAWAII PEDIATRIC RESIDENCY PR
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826
Mailing Address - Country:US
Mailing Address - Phone:808-369-1234
Mailing Address - Fax:808-369-1212
Practice Address - Street 1:1319 PUNAHOU STREET, #741
Practice Address - Street 2:DAWN DURAL, UNIVERSITY OF HAWAII PEDIATRIC RESIDENCY PR
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826
Practice Address - Country:US
Practice Address - Phone:808-369-1234
Practice Address - Fax:808-369-1212
Is Sole Proprietor?:No
Enumeration Date:2023-04-28
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program