Provider Demographics
NPI:1225377112
Name:LEE, HWANG KU (LAC PHD)
Entity Type:Individual
Prefix:MR
First Name:HWANG
Middle Name:KU
Last Name:LEE
Suffix:
Gender:M
Credentials:LAC PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 ORCHARD PARK DR.
Mailing Address - Street 2:SUITE B & C /SAMHWA DANG ACUPUNCTURE CLINIC.
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615
Mailing Address - Country:US
Mailing Address - Phone:864-408-8270
Mailing Address - Fax:
Practice Address - Street 1:26 ORCHARD PARK. DR.
Practice Address - Street 2:SUITE B & C /SAMHWA DANG ACUPUNCTURE CLINIC.
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615
Practice Address - Country:US
Practice Address - Phone:864-408-8270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-12
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC132171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist