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1649872268 NPI number — YEONGSOON K LEE PHARMD

NPI Number: 1649872268
Health Care Provider/Practitioner: YEONGSOON K LEE PHARMD

Information about “1649872268” NPI (YEONGSOON K LEE PHARMD) exists in 1649872268 in HTML format HTML  |  1649872268 in plain Text format TXT  |  1649872268 in PDF (Portable Document Format) PDF  |  1649872268 in an XML format XML  formats.

NPI Number : 1649872268 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1649872268",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LEE",
    "FirstName": "YEONGSOON",
    "MiddleName": "K",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PHARMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2707 SW 98TH DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GAINESVILLE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32608-8679",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "352-318-7599",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1024 FL-19",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PALATKA",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32177",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "386-328-2786",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/09/2020",
    "LastUpdateDate": "11/09/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "PS38600",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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