Provider Demographics
NPI:1245620194
Name:LEE, HYO EUN (LAC, PHD)
Entity type:Individual
Prefix:DR
First Name:HYO EUN
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:LAC, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 AVE AT PORT IMPERIAL
Mailing Address - Street 2:APT. #924
Mailing Address - City:WEST NEW YORK
Mailing Address - State:NJ
Mailing Address - Zip Code:07093-7101
Mailing Address - Country:US
Mailing Address - Phone:201-290-5950
Mailing Address - Fax:
Practice Address - Street 1:333 SYLVAN AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:ENGLEWOOD CLIFFS
Practice Address - State:NJ
Practice Address - Zip Code:07632-2724
Practice Address - Country:US
Practice Address - Phone:201-227-8275
Practice Address - Fax:714-870-5028
Is Sole Proprietor?:No
Enumeration Date:2015-01-30
Last Update Date:2015-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00110900171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist