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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DAEWOONG LEE, M.D.

Active

DAEWOONG LEE, M.D. is a Interventional Vascular Surgery healthcare provider located in BLOOMINGTON, Indiana. NPI 1477909703 is currently active in the NPPES registry. Verify at CMS.

Interventional Vascular Surgery · BLOOMINGTON, IN

Registration Details

NPI Number
1477909703
Provider Type
Individual
Gender
Male
NPI Issued
May 5, 2016 (10.2585886264 yrs)
Last Updated
Jan 7, 2022
Licenses
270737 (MA)
125.069028 (IL)
66702 (MN)
01086201A (IN)

Practice Information

Address
888 S AUTO MALL RD
BLOOMINGTON, IN, 474015430
Browse IN providers · Browse ZIP 47401
Phone
8123532700
Fax
8123532701
Primary Specialty
Interventional Vascular Surgery
208VP0014X
Additional Specialty
Internal Medicine
Additional Specialty
Vascular Surgery

Other Interventional Vascular Surgery Providers in BLOOMINGTON, IN

Name Credential NPI
KAMAL KUMAR TIWARI M.D. 1578558789
CORIE R CHANEY NP 1114897634
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.