Provider Demographics
NPI:1255726477
Name:LEE, SUNGHEE (L AC)
Entity type:Individual
Prefix:
First Name:SUNGHEE
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1251 S CEDAR CREST BLVD STE 102C
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-6205
Mailing Address - Country:US
Mailing Address - Phone:610-433-8833
Mailing Address - Fax:610-433-8834
Practice Address - Street 1:1251 S CEDAR CREST BLVD STE 102C
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6205
Practice Address - Country:US
Practice Address - Phone:610-433-8833
Practice Address - Fax:610-433-8834
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-03
Last Update Date:2021-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAK001154171100000X
NY005519-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist