Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Edwin Minjae Lee, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1902509730

Edwin Minjae Lee, MD is a Student in an Organized Health Care Education/Training Program in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2023.

Licensed in
RI
In the registry since
2023
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 793-2695
Fax: (401) 444-4165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (RI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1902509730
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2023
Last updated in NPPESMarch 25, 2024
Certification dateMarch 25, 2024
Mailing address6705 Cloverdale Blvd, Bayside, NY 11364-2742

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