| NPI | 1487140869 |
|---|---|
| Doing Business As | JUSTIN THIEN LEE, MD INC |
| Entity Type | Organization |
| Authorized Contact | JUSTIN THIEN LEE President 573-356-6998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A95245) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-07-09 |