Provider Demographics
NPI:1871838615
Name:LEE, EUNMEE (DC)
Entity Type:Individual
Prefix:
First Name:EUNMEE
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14101 YORBA ST
Mailing Address - Street 2:STE 103
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-2041
Mailing Address - Country:US
Mailing Address - Phone:949-351-6672
Mailing Address - Fax:
Practice Address - Street 1:14101 YORBA ST
Practice Address - Street 2:STE 103
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-2041
Practice Address - Country:US
Practice Address - Phone:949-351-6672
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-05
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32452111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor