Youngchan Lee, is a
Physical Therapist based in Jacksonville, Florida. Youngchan Lee is licensed to practice in Florida (license number PT41344) and his current practice location is
3591 Kernan Blvd S Apt 816, Jacksonville, Florida. He can be reached at his office (for appointments etc.) via phone at
(808) 258-5530.
NPI number for Youngchan Lee is 1053962936 and his current mailing address is 3591 Kernan Blvd S Apt 816, Jacksonville, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053962936.
Healthcare Provider's Profile
Full Name | Youngchan Lee |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | 3591 Kernan Blvd S Apt 816, Jacksonville, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053962936
- Provider Enumeration Date: 09/23/2019
- Last Update Date: 05/04/2024
Medical Identifiers
Medical identifiers for Youngchan Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053962936 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
171100000X | Acupuncturist | AC18612 (California) | Secondary |
225100000X | Physical Therapist | PT41344 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Youngchan Lee is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Youngchan Lee, 3591 Kernan Blvd S Apt 816, Jacksonville, FL 32224-4674 Ph: (808) 258-5530 | Youngchan Lee, 3591 Kernan Blvd S Apt 816, Jacksonville, FL 32224-4674 Ph: (808) 258-5530 |
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