LISA KYOUN PARK

PORT JEFFERSON, NY
NPI1972130938
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-03-26
Last Update Date2020-03-26
Business Address
LISA KYOUN PARK MD
75 N COUNTRY RD
PORT JEFFERSON, NY 11777-2190
Phone number: 631-686-2549
Mailing Address
LISA KYOUN PARK MD
75 N COUNTRY RD
PORT JEFFERSON, NY 11777-2190
Phone number: 631-686-2549
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