Jaewon Lee, CNP
NPI #1558815522 in Grants, New Mexico
Provider Information
- NPI Number
- 1558815522
- Entity Type
- Individual
- Name
- Jaewon Lee, CNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- CNP
- Enumeration Date
- Aug 8, 2016
- Last Updated
- Jan 15, 2025
Practice Location
- Address
- 1217 BONITA ST
- City
- Grants
- State
- New Mexico
- ZIP Code
- 87020-2103
- Phone
- (052) 872-9585
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Nurse Practitioner - Family — Family |
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