725 ALBANY ST SHAPIRO 5, SUITE B
BOSTON, MA 02118-2526 US PECOS Enrolled
Overview
Carol Soojung Lee is a Student in the BOSTON area and has over 14 years of experience. Carol Soojung Lee primary office location is at 725 ALBANY ST and new patients are welcome to contact this healthcare provider for an appointment. She attended Albert Einstein College Of Medicine Of Yeshiva University and graduated 2010
Carol Soojung Lee is affiliated with two hospitals in the BOSTON area, including KAISER FOUNDATION HOSPITAL - ANTIOCH. The NPI number is 1902126287 and the information was updated approximately 2 years ago.
Carol Soojung Lee is affiliated with one medical group in the BOSTON area, PERMANENTE MEDICAL GROUP INC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| - | MA |
No Identifiers found
| Taxonomy | State | Primary? |
|---|---|---|
| Student - Taxonomy Code 390200000X | MA | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20150909002133 |
| PECOS Individual PAC ID: | 5496986770 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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