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EUI-DONG LEE MD NPI 1861479891


NPI Information

NPI: 1861479891
Provider Name: EUI-DONG LEE, MD
Classification: Surgery - 208600000X
Entity Type: Individual
Address:
404 HAZEN ST
SUITE 101
PAW PAW, MI
ZIP 49079
Phone: (269) 657-4407
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Eui-dong Lee, MD is a surgery in Paw Paw, MI. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Eui-dong Lee, MD NPI is 1861479891. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

404 HAZEN ST
SUITE 101
PAW PAW, MI
ZIP 49079-040
Phone: (269) 657-4407
Fax: (269) 657-0965

The enumeration date for this NPI number is 12/30/2005 and was last updated on 9/16/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery4301032196MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B46085MEDICARE UPIN
2700H060020OTHERMICHIGANBCBSM
31861479891MEDICAIDMICHIGAN
40H06012016MEDICARE PINMICHIGAN
5104994926MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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