| Devin S. Lee, Md Llc | |
|
85 Maui Lani Pkwy Wailuku HI 96793-2416 | |
| (808) 442-5700 | |
| Not Available |
| Full Name | Devin S. Lee, Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 85 Maui Lani Pkwy, Wailuku, Hawaii |
| Authorized Official Name and Position | Devin Lee (OWNER) |
| Authorized Official Contact | 8084425700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Devin S. Lee, Md Llc 85 Maui Lani Pkwy Wailuku HI 96793-2416 Ph: (808) 442-5700 | Devin S. Lee, Md Llc 85 Maui Lani Pkwy Wailuku HI 96793-2416 Ph: (808) 442-5700 |
| NPI Number | 1447940069 |
|---|---|
| Provider Enumeration Date | 05/08/2023 |
| Last Update Date | 12/21/2023 |
| Medicare PECOS PAC ID | 8123488905 |
|---|---|
| Medicare Enrollment ID | O20230712003698 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447940069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Devin S Lee |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1588197842 PECOS PAC ID: 6608292610 Enrollment ID: I20230712003792 |
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