Provider Demographics
NPI:1093875643
Name:LEE-NEWMAN, HWASOOK (OMD,LAC,RN)
Entity Type:Individual
Prefix:DR
First Name:HWASOOK
Middle Name:
Last Name:LEE-NEWMAN
Suffix:
Gender:F
Credentials:OMD,LAC,RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:341 N KAWEAH AVE
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:CA
Mailing Address - Zip Code:93221-1221
Mailing Address - Country:US
Mailing Address - Phone:559-592-7441
Mailing Address - Fax:
Practice Address - Street 1:341 N KAWEAH AVE
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:CA
Practice Address - Zip Code:93221-1221
Practice Address - Country:US
Practice Address - Phone:559-592-7441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACU3074171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist