Provider Demographics
NPI:1780467662
Name:LEE, YI KUEI (LAC)
Entity type:Individual
Prefix:MS
First Name:YI KUEI
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:470 W HARWOOD RD
Mailing Address - Street 2:
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76054-2939
Mailing Address - Country:US
Mailing Address - Phone:817-498-8449
Mailing Address - Fax:817-281-4829
Practice Address - Street 1:470 W HARWOOD RD
Practice Address - Street 2:
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76054-2939
Practice Address - Country:US
Practice Address - Phone:817-498-8449
Practice Address - Fax:817-281-4829
Is Sole Proprietor?:No
Enumeration Date:2023-08-15
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC02021171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist