DR. WON KYU LEE (NPI# 1871538124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871538124 |
| Entity Type | Individual |
| Full Name | DR. WON KYU LEE |
| Credential | MD |
| Practice Address |
2650 Horizon Dr Se Suite 233 Grand Rapids MI 49546-7686 |
| Practice Telephone | 6164193607 |
| Practice Fax Number | 6164193679 |
| Mailing Telephone | 6164193607 |
| Mailing Fax Number | 6164193679 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2016-01-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | C43108 | CA | Allopathic & Osteopathic Physicians |
| N | 207ZD0900X |
Pathology Specialization: Dermatopathology |
36275 | AZ | Allopathic & Osteopathic Physicians |
| Y | 207ZD0900X |
Pathology Specialization: Dermatopathology |
4301065083 | MI | Allopathic & Osteopathic Physicians |
| N | 207ZD0900X |
Pathology Specialization: Dermatopathology |
C43108 | CA | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
36275 | AZ | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
4301065083 | MI | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
C43108 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992167654 | Won Lee | Anesthesiology | 30 Cathedral Ave Apt 4b, Hempstead, NY 11550-2015 | 2016-03-22 |
| 1669778817 | Won Ju Lee | Acupuncturist | 26767 Agoura Rd., Calabasas, CA 91302 | 2011-02-07 |
| 1154530285 | Won Mook Lee | Acupuncturist | 1685 S Colorado Blvd Unit T, Denver, CO 80222-4035 | 2007-05-22 |
| 1568520757 | Won K Lee | Family Medicine | 319 N Main St, Monmouth, IL 61462-1742 | 2006-12-04 |
| 1750498358 | Won Koo Lee | Dentist | 2030 California Ave, Suite A, Sand City, CA 93955-3150 | 2006-08-23 |
| 1578504783 | Won Kyu Lee | Chiropractor | 5800 N Lincoln Ave, #c, Chicago, IL 60659-4623 | 2006-06-09 |
| 1871533059 | Won Joon Lee | Family Medicine | 811 N. O'connor Rd, 811 N. O'connor Rd, Irving, TX 75061 | 2006-06-07 |
| 1336106921 | Won T Lee | Psychiatry & Neurology | 1745 Pacific Ave, Long Beach, CA 90813 | 2006-04-27 |
| 1184693863 | Won Y Lee | Pharmacist | 5513 Wilson Blvd, Arlington, VA 22205-1119 | 2006-03-16 |
| 1902894793 | Won Sok Lee | Radiology | 2241 Ne 139th St, Vancouver, WA 98686-2742 | 2005-10-06 |
| Street Address |
2650 HORIZON DR SE SUITE 233 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-7686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982660734 | Kent Pathology Laboratory Pllc | Clinical Medical Laboratory | 2650 Horizon Dr Se, Suite B, Grand Rapids, MI 49546-7519 | 2006-04-21 |
| 1467723502 | Universal Dermatopathology Lab, Pllc | Clinical Medical Laboratory | 2650 Horizon Dr Se, Suite 233, Grand Rapids, MI 49546-7519 | 2012-01-20 |
| 1740397124 | Kent Pathology Laboratory Pllc | Pathology | 2650 Horizon Dr Se, Suite B, Grand Rapids, MI 49546-7519 | 2006-08-23 |
| 1962447219 | Albert Kayoon Kim | Pathology | 2650 Horizon Dr Se, Suite B, Grand Rapids, MI 49546-7519 | 2006-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 207ZD0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Dermatopathology |
| A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate was first issued by the ABMS in 1974. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740397124 | Kent Pathology Laboratory Pllc | Pathology | 2650 Horizon Dr Se, Suite B, Grand Rapids, MI 49546-7519 | 2006-08-23 |
| 1962447219 | Albert Kayoon Kim | Pathology | 2650 Horizon Dr Se, Suite B, Grand Rapids, MI 49546-7519 | 2006-06-19 |
| 1194774729 | Kent Pathologists Pllc | Pathology | 200 Jefferson Se, St Marys Health Service Pathology Dept, Grand Rapids, MI 49503-4502 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457359945 | Jean E Thomas | Pathology | 1314 N Macomb St, Monroe, MI 48162-3131 | 2005-07-08 |
| 1770804312 | David Phillip Arps | Pathology | 1500 E Medical Center Drive, 2nd Floor University Hospital Recp Pathology, Ann Arbor, MI 48109-5054 | 2010-06-17 |
| 1861712994 | Joshua R Bradish | Pathology | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2010-06-11 |
| 1033351044 | Rajiv Michael Patel | Pathology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2009-04-06 |
| 1720292493 | Michelle R Young | Pathology | 1105 Sixth St, Traverse City, MI 49684-2345 | 2007-05-10 |
| 1992828560 | Limin Yu | Pathology | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2007-04-09 |
| 1477601185 | Min W. Lee | Pathology | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2007-01-08 |
| 1457419160 | Mary Beth Anderson | Pathology | 18756 Millar Rd, Clinton Township, MI 48036-2095 | 2006-12-05 |
| 1326120023 | Kimberley Gretchen Behrens | Pathology | 6330 Orchard Lake Rd, Suite 120, West Bloomfield, MI 48322-2398 | 2006-10-20 |
| 1730260183 | Douglas R Fullen | Pathology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2006-10-18 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on DR. WON KYU LEE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.