Individual provider Active NPI

Hoki Lee, LMNT

  • Specialist
  • Duluth, GA
National Provider Identifier
1255686853
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MT001384 Issued in GA
Practice address
3525 Mall Blvd
Ste 5A1
Duluth, GA 30096-4752
Phone
(770) 734-5460
Fax
(770) 734-0962
NPI assigned
Jul 19, 2012
Last updated
Jul 19, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MT001384 GA Primary

Addresses

Primary practice location

3525 Mall Blvd
Ste 5A1
Duluth, GA 30096-4752

Mailing address

3525 Mall Blvd
Ste 5A1
Duluth, GA 30096-4752
Phone (770) 734-5460

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

LicenseStateTypeSpecialty
MT001384GAMDSpecialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342656000000",
    "number": "1255686853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 MALL BLVD",
            "address_2": "STE 5A1",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964752",
            "telephone_number": "770-734-5460",
            "fax_number": "770-734-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 MALL BLVD",
            "address_2": "STE 5A1",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964752",
            "telephone_number": "770-734-5460",
            "fax_number": "770-734-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "HOKI",
        "credential": "LMNT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-19",
        "last_updated": "2012-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "MT001384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.