Provider Demographics
NPI:1477898294
Name:LEE, SEOK (L AC)
Entity Type:Individual
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First Name:SEOK
Middle Name:
Last Name:LEE
Suffix:
Gender:M
Credentials:L AC
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Mailing Address - Street 1:17501 IRVINE BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-3147
Mailing Address - Country:US
Mailing Address - Phone:714-932-8512
Mailing Address - Fax:949-390-9902
Practice Address - Street 1:17501 IRVINE BLVD STE 103
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-3147
Practice Address - Country:US
Practice Address - Phone:714-932-8512
Practice Address - Fax:949-390-9902
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-05
Last Update Date:2022-02-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAAC15077171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist