Provider Demographics
NPI:1083908289
Name:LEE, JOHN JUHEON (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:JUHEON
Last Name:LEE
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:265 CAMPUS DR
Mailing Address - Street 2:SIM1, RM G3115
Mailing Address - City:STANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:94305-5463
Mailing Address - Country:US
Mailing Address - Phone:650-724-9116
Mailing Address - Fax:650-736-2961
Practice Address - Street 1:265 CAMPUS DR
Practice Address - Street 2:SIM1, RM G3115
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305-5463
Practice Address - Country:US
Practice Address - Phone:650-724-9116
Practice Address - Fax:650-736-2961
Is Sole Proprietor?:No
Enumeration Date:2011-06-06
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC54490207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology