NPI 1174813794

Gab Soon Lee

Practitioner Pharmacist Clinton Twp, MI

Practice location

Address: 37165 S Groesbeck Hwy, Clinton Twp, MI 48036-2315
Phone: (586) 468-1428

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 5302038095 (MI)

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Registry record

NPI: 1174813794
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Apr 2011
Record last updated: 15 Apr 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.