Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sukwoo Lee, GNP-C, ANP-C

Individual provider Gerontology Nurse Practitioner · NPI 1780985697

Sukwoo Lee, GNP-C, ANP-C is a Nurse Practitioner in Boston, Massachusetts. Qualified in 2010, 16 years ago. Practices with Evans Medical Foundation Inc, a 526-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
16
Licensed in
MA
In the registry since
2010
Specialties on file
2
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Practice location Address checks out

801 Massachusetts Avenue Crosstown 2
Boston, MA 02118-2605
Phone: (617) 414-7399
Fax: (617) 414-4676
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence RN266179 (MA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence RN266179 (MA)

Record details

NPI number1780985697
Entity typeIndividual (Type 1)
GenderMale
Credentials GNP-C , ANP-C
Sole proprietorNo
NPI enumeratedNovember 9, 2010
Last updated in NPPESMarch 17, 2022
Certification dateMarch 4, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Evans Medical Foundation Inc — 526 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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