John Sangwon Lee, MD

Primary specialty

Health EducatorTaxonomy code 174H00000X

License

016370 Issued in CT

Practice address

99 Pigeon Rd
Willimantic, CT 06226-1320

Phone

(860) 456-4347

NPI assigned

Jun 13, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. John Sangwon Lee Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1942562103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 PIGEON RD",
            "address_2": "99 PIGEON RD",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062261320",
            "telephone_number": "860-456-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 PIGEON RD",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062261320",
            "telephone_number": "860-456-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JOHN",
        "middle_name": "SANGWON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "CT",
            "license": "016370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "LEE",
            "middle_name": "SANGWON",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Pamela E Lafaille
• Ashley Lafargue-Soucie
• Fabienne Laguerre, MSN, APRN, FNP-C
• David A. Lamot, D.M.D.
• Jamila Lee
• Elijah M Legassie
• Aurora Teresa Leon Conde, M.D.
• Priscilla P Leon
• Jerri Ann Levenson Hamby, LCSW
• Jaime Lee Ley, LMFT

• Health Educator in Willimantic, CT
• Providers in Willimantic, CT by specialty
• Health Educator in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.