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

Jaewon Lee, MD

Individual provider Internal Medicine Physician · NPI 1063115178

Jaewon Lee, MD is an Internal Medicine in Boston, Massachusetts. Graduated from Saint Louis University School of Medicine in 2023, 3 years ago. Works from 2 locations. Licensed in Massachusetts.

Years since qualifying
3
Trained at
Saint Louis University School of Medicine
Licensed in
MA
In the registry since
2023
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

55 Fruit St
Boston, MA 02114-2621
Phone: (617) 231-9943
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 75 Francis St, Boston, MA 02115-6110 — (617) 732-5500

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 1027631 (MA)

Record details

NPI number1063115178
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2023
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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