Provider Demographics
NPI:1619146933
Name:LEE, EDWARD JOONHO (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:JOONHO
Last Name:LEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7767 ALISTER MACKENZIE DR
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34240-8708
Mailing Address - Country:US
Mailing Address - Phone:773-354-9597
Mailing Address - Fax:941-777-4932
Practice Address - Street 1:7767 ALISTER MACKENZIE DR
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34240-8708
Practice Address - Country:US
Practice Address - Phone:773-354-9597
Practice Address - Fax:941-777-4932
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-21
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI52659-020207L00000X
IL036120019207L00000X
FLME0117181207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology