Dong Keun Lee

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Meridian, MS

NPI 1538088075 · NPPES record last updated Jul 10, 2026

Key facts

NPI
1538088075
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
905A S Frontage Rd
Meridian, MS 39301-6113
Phone
(601) 484-2793
NPI assigned
Jul 10, 2026
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MS Yes

Addresses

Primary practice location

905A S Frontage Rd
Meridian, MS 39301-6113

Mailing address

905A S Frontage Rd
Meridian, MS 39301-6113
Phone (601) 484-2793

Other providers in Meridian, MS

All providers in Meridian, MS · Student in an Organized Health Care Education/Training Program in Mississippi

Sources for this page

Verify at the official NPI Registry.