Soo W Lee (NPI# 1578732699, PAC ID# 5193906964) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1578732699 |
| PAC ID by PECOS | 5193906964 |
| Professional Enrollment ID | I20110228000128 |
| Full Name | Soo W Lee |
| Address |
5402 W Overland Rd Boise ID 83705-2640 |
| Phone Number | 2083774514 |
| Gender | M |
| Medical School | WESTERN STATES COLLEGE OF CHIROPRACTIC |
| Graduation Year | 1977 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 5402 W Overland Rd, Boise, ID 83705-2640 | 2083774514 |
| Street Address |
5402 W OVERLAND RD |
| City | BOISE |
| State | ID |
| Zip | 83705-2640 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judit I Mccullough | Chiropractic | 410 S Orchard St, Suite 152, Boise, ID 83705-1210 | |
| Mary K Bermensolo | Clinical Social Worker | 410 S Orchard St, Suite 132, Boise, ID 83705-1288 | |
| Thomas D Hickey | Chiropractic | 376 S Latah St, Boise, ID 83705-1539 | |
| Pamela H Archuleta | Nurse Practitioner | 921 S Orchard St, Suite 101, Boise, ID 83705-1916 | |
| Elizabeth A Jackson | Clinical Social Worker | 963 S Orchard St, Suite 103, Boise, ID 83705-1917 | |
| Toni Sparks | Nurse Practitioner | 1111 S Orchard St, Suite 155, Boise, ID 83705-1963 | |
| Wayland B Fong | Internal Medicine | 808 S La Cassia Dr, Boise, ID 83705-2253 | |
| Margaret C Gwin | Clinical Psychologist | 2901 W Kootenai St, Boise, ID 83705-2326 | |
| Candace M Richards | Physical Therapy | Hands-on Physical Therapy Pa | 5255 W Overland Rd, Boise, ID 83705-2637 |
| Andrea J Henderson | Physical Therapy | Hands-on Physical Therapy Pa | 5255 W Overland Rd, Boise, ID 83705-2637 |
| Find all physicians in zip 83705 | |||
| City | BOISE |
| Zip Code | 83705 |
| Specialty | CHIROPRACTIC |
| City + Specialty | BOISE + CHIROPRACTIC |
Please comment or provide details below to improve the information on Soo W Lee.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.