| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JI Y LEE | 1326682576 | 2024-11-08 |
Ji Y Lee is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1326682576. Registration indicates Ji Y Lee is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| Entity Type | Individual |
| Provider Name | Miss Ji Y Lee PA-C |
| Practice Office Address | 2237 HIGHWAY 9 E LONGS, SC US |
| Practice Office Telephone | 8772313376 |
| Mailing Address | 1306 CONCOURSE DR STE 201 LINTHICUM HEIGHTS, MD 210901033 US |
| Address | City / State | Phone / Fax |
|---|---|---|
| 4220 Apex Hwy Ste 200 | Durham, NC 277135295 | 9802253292 |
| 1303 Carthage St | Sanford, NC 273308984 | 9192922468 104 / 9192922167 |
| Code | Practice | License No State |
|---|---|---|
| 363A00000X | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | 0010-11435
NC |
| 363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | MPA.5161
SC |