Healthcare Provider Details
I. General information
NPI: 1760311955
Provider Name (Legal Business Name): YONGHYUN LEE MD PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
61 LINCOLN ST STE 301
FRAMINGHAM MA
01702-8264
US
IV. Provider business mailing address
61 LINCOLN ST STE 301
FRAMINGHAM MA
01702-8264
US
V. Phone/Fax
- Phone: 508-656-0131
- Fax:
- Phone: 508-656-0131
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
YONGHYUN
LEE
Title or Position: PRESIDENT
Credential: MD
Phone: 508-656-0131