SearchNew Mexico363LF0000X

Jaewon Lee, CNP

NPI 1558815522 · on the registry since 2016

Practice

Address
1217 Bonita St
Grants, NM 87020
Phone
(052) 872-9585
Fax
(505) 443-8342
Organisation at this address
Pms/Wnmmg Grants Clinic
Presbyterian Medical Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Additional practice sites

  • 109 Us Highway 66 E, Tell City, IN
  • 109 Us Highway 66 E, Tell City, IN

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Also registered as
363L00000X
363LF0000X
Licence states on file
MN, IN, NM
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-01-15

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 New Mexico