Active NPI
Jaeok Lucas Lee, ACUPUNCTURIST
- Acupuncturist
- Prince Frederick, MD
National Provider Identifier
1063993160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- U02525
- Practice address
- 130 Alton CT Apt 231
Prince Frederick, MD 20678-4186 - Phone
- (301) 821-7703
- NPI assigned
- Aug 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | U02525 | MD | Primary |
Addresses
Primary practice location
130 Alton CT Apt 231
Prince Frederick, MD 20678-4186
Mailing address
130 Alton CT Apt 231
Prince Frederick, MD 20678-4186
Phone (301) 821-7703
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U02525 | MD | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581465600000",
"number": "1063993160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 ALTON CT APT 231",
"city": "PRINCE FREDERICK",
"state": "MD",
"postal_code": "206784186",
"telephone_number": "301-821-7703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 ALTON CT APT 231",
"city": "PRINCE FREDERICK",
"state": "MD",
"postal_code": "206784186",
"telephone_number": "301-821-7703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JAEOK",
"middle_name": "LUCAS",
"credential": "ACUPUNCTURIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-27",
"last_updated": "2020-02-12",
"certification_date": "2020-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MD",
"license": "U02525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prince Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.