DAE-WON LEE

COLUMBIA, MO
NPI1881078707
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: MO  2015021362)
Enumeration Date2015-07-10
Last Update Date2021-11-23
Business Address
DAE-WON LEE
1 HOSPITAL DR
COLUMBIA, MO 65212-1000
Phone number: 573-882-3233
Mailing Address
DAE-WON LEE
PHR GROUP PROVIDER ENROLLMENT UNIT 393 E WALNUT ST FL 3
PASADENA, CA 91188-0001
Phone number: 877-608-0044