Kyoung Yun Lee, D.D.S

NPI 1508127135 · on the registry since 2012 · sole proprietor

Practice

Address: 141 E Pershing Rd
Decatur, IL 62526
Phone: (217) 877-6559
Organisation at this address: Decatur 2014
Decatur 2012 Llc
Decatur 2015 Llc
Decatur 2013 Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 122300000X
122300000X
Also registered as: 122300000X
122300000X
Licence states on file: CT, IL, NJ
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2014-11-10

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 Illinois