Lee, Laura Haeryun

Lee, Laura Haeryun is an individual health care provider with primary practice located at 677 N Wilmot Road , Tucson AZ 85711. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Lee, Laura Haeryun can be contacted via phone (520) 795-2889.

Contact Information

Primary practice address
677 N Wilmot Road Tucson AZ 85711
Phone: (520) 795-2889
Fax: (520) 795-6321
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 34610 Arizona
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 34610 Arizona
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X 34610 Arizona

Profile Details

NPI number 1851407662
LBN Legal business name Lee, Laura Haeryun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Feb 27th, 2013 - about 11 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 1851407662 NPPES
Arizona MEDICAID 150824
Arizona Other 1841261989
Arizona Other 1851407662
Arizona Other P00435470
Arizona Other ZWCBBM
Arizona Other 005472
Arizona Other CS7943

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