| Provider / Organization | NPI | Date Certified |
|---|---|---|
| HAE RI LEE | 1861130908 | 2022-12-04 |
Hae Ri Lee is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1861130908. Registration indicates Hae Ri Lee is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Mrs. Hae Ri Lee |
| Other Provider Name | Victoria Lee |
| Practice Office Address | 9730 PATUXENT WOODS DR STE 100 COLUMBIA, MD US |
| Practice Office Telephone | 4439239200 |
| Mailing Address | 10000 TOWN CENTER AVE APT 343 COLUMBIA, MD 210445439 US |
| Business Telephone | 2027310970 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |