Active NPI
Won Seok Lee, DNP
- Certified Registered Nurse Anesthetist
- Boston, MA
National Provider Identifier
1578438834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 95002883
- Practice address
- 55 Fruit St
Boston, MA 02114-2621 - Phone
- (781) 929-4356
- NPI assigned
- Oct 7, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 95002883 | CA | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | RN10005873 | MA |
Addresses
Primary practice location
55 Fruit St
Boston, MA 02114-2621
Mailing address
3520 Maricopa St Unit 1
Torrance, CA 90503-4991
Other names 1
- Won Lee
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1305 Walt Whitman Rd
Suite 300
Melville, NY 11747-4300
351 White Birch LN
Angier, NC 27501-6338
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN10005873 | MA | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1578438834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3520 MARICOPA ST UNIT 1",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905034991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142621",
"telephone_number": "781-929-4356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "WON SEOK",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-07",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "95002883",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MA",
"license": "RN10005873",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WON",
"last_name": "LEE",
"credential": "DNP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.