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

Jung Lack Lee, MD

Individual provider Surgery Physician · NPI 1457394306

Jung Lack Lee, MD is a General Surgery in Flushing, New York. Qualified in 1973, 53 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
53
Licensed in
NY
In the registry since
2006
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

143-25A Roosevelt Ave
Flushing, NY 11354
Phone: (718) 353-0505
Fax: (718) 966-2576
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 144342 (NY)

Record details

NPI number1457394306
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 14, 2006
Last updated in NPPESNovember 4, 2014
Mailing address341 Powell St., Staten Island, NY 10312

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Also practisesGENERAL PRACTICE
Medical schoolOTHER
Graduated 1973 (53 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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