Ki Bum Lee
NPI #1982093795 in St Augustine, Florida
Provider Information
- NPI Number
- 1982093795
- Entity Type
- Individual
- Name
- Ki Bum Lee
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Obstetrics & Gynecology
- Enumeration Date
- Jan 16, 2015
- Last Updated
- Jan 16, 2015
Practice Location
- Address
- 4713 SAWBUCK ST
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32092-3690
- Phone
- (904) 940-8993
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology |
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