Lee, Jiwon

Lee, Jiwon is an individual health care provider with primary practice located at 500 W Main St , Lewisville TX 75057-3629. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Lee, Jiwon can be contacted via phone (972) 420-1881.

Contact Information

Primary practice address
500 W Main St Lewisville TX 75057-3629
Phone: (972) 420-1881
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X M4276 Texas

Profile Details

NPI number 1518991108
LBN Legal business name Lee, Jiwon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Dec 4th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518991108 NPPES
Texas Other 8V2878 BCBS
Texas Other P00364140 BCBS
Texas MEDICAID 181656302 BCBS
Texas MEDICAID 181656301 BCBS
Texas Other 8W0340 BCBS

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