MEDICARE: PROF. HAK WOO LEE

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	171100000X	Acupuncturist	AP 2294	FL

General Provider Information

NPI Number	:	1730351438
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PROF. HAK WOO LEE

Provider Business Mailing Address
First Line	:	727 CANOPY OAKS CT.
Second Line	:
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787
Country	:	US
Telephone Number	:	407-294-5886
Fax Number	:	407-294-5886

Provider Business Practice Location Address
First Line	:	5076 W COLONIAL DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32808-7668
Country	:	US
Telephone Number	:	407-294-5886
Fax Number	:	407-294-5886

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

Provider Enumeration Date	:	04/02/2008
Last Update Date	:	04/02/2008

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