Provider Demographics
NPI:1376933606
Name:RHEE, SOUNG-DEUK (LAC)
Entity Type:Individual
Prefix:
First Name:SOUNG-DEUK
Middle Name:
Last Name:RHEE
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 E VALLEY CREEK RD
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH MEETING
Mailing Address - State:PA
Mailing Address - Zip Code:19462-7147
Mailing Address - Country:US
Mailing Address - Phone:484-767-9677
Mailing Address - Fax:
Practice Address - Street 1:2 E VALLEY CREEK RD
Practice Address - Street 2:
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462-7147
Practice Address - Country:US
Practice Address - Phone:484-767-9677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-26
Last Update Date:2015-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAK000866171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist