person
Mi Ra Lee, MD
Student in an Organized Health Care Education/Training Program in Rockford, Illinois
NPI 1598043614

Mi Ra Lee is a Student in an Organized Health Care Education/Training Program based in Rockford, IL. Mi Ra Lee practices in Rockford, IL and has the professional credentials of MD. The NPI Number for Mi Ra Lee is 1598043614 and holds a License No. 125059252 (Illinois).

The current practice location address for Mi Ra Lee is 1221 E State St, Rockford, IL and can be reached out via phone at 815-972-1000.

Location: 1221 E State St, Rockford, IL, 61104-2231
person
Provider Profile Details
NPI Number
1598043614
Provider Name
Mi Ra Lee
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1221 E State St, Rockford, IL, 61104-2231
Phone Number
815-972-1000
Fax Number
Provider Enumeration Date
07/22/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1221 E State St
City
State
Zip
61104-2231
Phone Number
815-972-1000
Fax Number
person
Provider Business Mailing Address Details
Address
1221 E State St
City
State
Zip
61104-2231
Phone Number
815-972-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
125059252 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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