person
Mr. Jimmy Seung-sup Lee
Psychiatric/Mental Health Registered Nurse in Mammoth Lakes, California
NPI 1689334930

Jimmy Seung-sup Lee is a Psychiatric/Mental Health Registered Nurse based in Mammoth Lakes, CA and is specialized in Psychiatric/Mental Health. Jimmy Seung-sup Lee practices in Mammoth Lakes, CA. The NPI Number for Jimmy Seung-sup Lee is 1689334930 and holds a License No. 790804 (California).

The current practice location address for Jimmy Seung-sup Lee is 1290 Tavern Rd, Mammoth Lakes, CA and can be reached out via phone at 760-924-1740.

Location: 1290 Tavern Rd, Mammoth Lakes, CA, 93546
person
Provider Profile Details
NPI Number
1689334930
Provider Name
Jimmy Seung-sup Lee
Credential
Provider Entity Type
Individual
Gender
Male
Address
1290 Tavern Rd, Mammoth Lakes, CA, 93546
Phone Number
760-924-1740
Fax Number
Provider Enumeration Date
12/28/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1290 Tavern Rd
City
State
Zip
93546-6601
Phone Number
760-924-1740
Fax Number
person
Provider Business Mailing Address Details
Address
1290 Tavern Rd
City
State
Zip
93546-6601
Phone Number
760-924-1740
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
790804 (California)
Definition
Definition to come...
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