Provider Demographics
NPI:1295454098
Name:LEE, BOK
Entity type:Individual
Prefix:
First Name:BOK
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 SANDY SPRINGS CIR STE 125
Mailing Address - Street 2:
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30328-3915
Mailing Address - Country:US
Mailing Address - Phone:404-474-2480
Mailing Address - Fax:404-474-2025
Practice Address - Street 1:333 SANDY SPRINGS CIR STE 125
Practice Address - Street 2:
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30328-3915
Practice Address - Country:US
Practice Address - Phone:404-474-2480
Practice Address - Fax:404-474-2025
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-24
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty