Provider Demographics
NPI:1649218769
Name:LEE, JOONE (DC, BPT)
Entity Type:Individual
Prefix:DR
First Name:JOONE
Middle Name:
Last Name:LEE
Suffix:
Gender:M
Credentials:DC, BPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200A DANVILLE BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:ALAMO
Mailing Address - State:CA
Mailing Address - Zip Code:94507-1971
Mailing Address - Country:US
Mailing Address - Phone:773-980-6699
Mailing Address - Fax:
Practice Address - Street 1:3200A DANVILLE BLVD STE 102
Practice Address - Street 2:
Practice Address - City:ALAMO
Practice Address - State:CA
Practice Address - Zip Code:94507-1971
Practice Address - Country:US
Practice Address - Phone:773-980-6699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29819111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation