Provider Demographics
NPI:1346339652
Name:LEE, DO-EUN (MD)
Entity Type:Individual
Prefix:
First Name:DO-EUN
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:150 S MIDDLE NECK RD
Mailing Address - Street 2:APT 3P
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-3739
Mailing Address - Country:US
Mailing Address - Phone:646-326-1554
Mailing Address - Fax:516-663-4780
Practice Address - Street 1:3434 VILLA LN
Practice Address - Street 2:STE 280
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-6405
Practice Address - Country:US
Practice Address - Phone:707-259-6767
Practice Address - Fax:707-258-8111
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2009-06-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA107775207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism