SearchMissouri171100000X

Jong Ho Lee

NPI 1861803892 · on the registry since 2014

Practice

Address
1958 Nw Copper Oaks Cir
Blue Springs, MO 64015
Phone
(816) 622-8496
Fax
(816) 295-1373
Organisation at this address
Urdaroma Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-02-10

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 Missouri