Lee, Andrew Dongjun

Lee, Andrew Dongjun is an individual health care provider with primary practice located at 690 Parkwood Medical Park , Elkin NC 28621-2487. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Lee, Andrew Dongjun can be contacted via phone (336) 835-0165.

Contact Information

Primary practice address
690 Parkwood Medical Park Elkin NC 28621-2487
Fax: (336) 835-0170
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 2010-00295 North Carolina

Profile Details

NPI number 1518154889
LBN Legal business name Lee, Andrew Dongjun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2007
Last updated Mar 29th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518154889 NPPES
North Carolina MEDICAID 5914927

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