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Jiwon Lee

NPI 1316565039 · on the registry since 2020

Practice

Address
3820 Mountain Rd Ste G
Pasadena, MD 21122
Phone
(410) 255-0099
Organisation at this address
Lake Shore Drugs Llc
Lake Shore Drugs Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-07-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland