Provider Demographics
NPI:1962854521
Name:LEE, EUN SUN I (MD)
Entity Type:Individual
Prefix:
First Name:EUN SUN
Middle Name:
Last Name:LEE
Suffix:I
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:EUNSUN
Other - Middle Name:
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:132 JEFFERSON STREET, 3RD FLOOR
Mailing Address - Street 2:HARTFORD HOSPITAL INFECTIOUS DISEASES
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106-2429
Mailing Address - Country:US
Mailing Address - Phone:860-972-9300
Mailing Address - Fax:
Practice Address - Street 1:132 JEFFERSON STREET, 3RD FLOOR
Practice Address - Street 2:HARTFORD HOSPITAL INFECTIOUS DISEASES
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-2429
Practice Address - Country:US
Practice Address - Phone:860-972-9300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-07
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT070751207R00000X, 207RI0200X
IL125.068125207R00000X
OK37395207RI0200X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist