Provider Demographics
NPI:1225435605
Name:LEE, TSUNG HAN (LAC)
Entity Type:Individual
Prefix:MR
First Name:TSUNG
Middle Name:HAN
Last Name:LEE
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:MR
Other - First Name:MICHAEL
Other - Middle Name:
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:23 PARK HILL TER
Mailing Address - Street 2:
Mailing Address - City:PRINCETON JUNCTION
Mailing Address - State:NJ
Mailing Address - Zip Code:08550-1903
Mailing Address - Country:US
Mailing Address - Phone:908-205-3460
Mailing Address - Fax:
Practice Address - Street 1:908 OAK TREE AVE
Practice Address - Street 2:
Practice Address - City:SOUTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07080
Practice Address - Country:US
Practice Address - Phone:908-205-3460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-01
Last Update Date:2018-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005439171100000X
NJ25MZ00109200171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist