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NPI Code Detail

MEDICARE: PHILIP YUKBONG LEE LAC, DAOM

MEDICARE:   PHILIP YUKBONG LEE  LAC, DAOM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturistU02729MD

General Provider Information

NPI Number : 1689536617
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILIP YUKBONG LEE LAC, DAOM
Provider Business Mailing Address
First Line : 3102 PRISCILLAS VW
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21043-5140
Country : US
Telephone Number : 234-365-1004
Fax Number :
Provider Business Practice Location Address
First Line : 3102 PRISCILLAS VW
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21043-5140
Country : US
Telephone Number : 234-365-1004
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2025
Last Update Date : 03/13/2026

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Directions to “ PHILIP YUKBONG LEE LAC, DAOM” Practice Location

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