Search › Maryland › 163WC0200X
Jisu Lee
NPI 1790679066 · on the registry since 2025
Practice
- Address
- 3013 Oak Green Ct Apt A
Ellicott City, MD 21043 - Phone
- (240) 869-9213
Registry record
- Primary taxonomy
- 163WC0200X
163WC0200X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-06-03
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