MEDICARE: DR. HYEOKHEE LEE MD, PHD

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
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1366337974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HYEOKHEE LEE MD, PHD

Provider Business Mailing Address
First Line	:	60 KILMARNOCK ST APT 446
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02215-4874
Country	:	US
Telephone Number	:	857-867-6691
Fax Number	:

Provider Business Practice Location Address
First Line	:	375 LONGWOOD AVE
Second Line	:	4TH FLOOR
City	:	BOSTON
State	:	MA
Zip	:	02215-5329
Country	:	US
Telephone Number	:	857-867-6691
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2025
Last Update Date	:	06/12/2025

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