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

Jong Soon Lee

Individual provider Registered Nurse · NPI 1861222077

Jong Soon Lee is a Registered Nurse in Oak Park, Michigan. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2024

Practice location Address checks out

22141 Whitmore St
Oak Park, MI 48237
Phone: (213) 949-9858
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 1107659-30 (WI)

Record details

NPI number1861222077
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 2, 2024
Last updated in NPPESAugust 2, 2024
Certification dateJuly 29, 2024
Mailing address109 Albemarle St Unit 301, Baltimore, MD 21202-4401

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