Provider Demographics
NPI:1780001040
Name:LEE, HWASOOK (DR OF ACUPUNCTURE)
Entity Type:Individual
Prefix:MS
First Name:HWASOOK
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:DR OF ACUPUNCTURE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1598 S COUNTY TRL
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-1627
Mailing Address - Country:US
Mailing Address - Phone:401-363-2445
Mailing Address - Fax:401-885-4080
Practice Address - Street 1:1598 S COUNTY TRL
Practice Address - Street 2:
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-1627
Practice Address - Country:US
Practice Address - Phone:401-363-2445
Practice Address - Fax:401-885-4080
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-25
Last Update Date:2016-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDA00389171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist