SO JEONG LEE
NPI 1023863057
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 22, 2024
240 S 40TH ST, OFFICE OF CLINICAL AFFAIRS-S6A EVANS, PHILADELPHIA, PA 19104(215) 573-2588 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About So Jeong Lee NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SO JEONG LEE (NPI 1023863057) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1023863057
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSO JEONG LEE
Location Address240 S 40TH ST, OFFICE OF CLINICAL AFFAIRS-S6A EVANSPhiladelphia, PA 19104-6030
Mailing Address240 S 40th St, Office Of Clinical Affairs-s6a EvansPhiladelphia, PA 19104-6030 · (215) 573-2588
Sole ProprietorYes
Enumeration DateApril 22, 2024
NPPES CertifiedApril 22, 2024
NPI 1023863057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

240 S 40TH ST, Philadelphia, PA 19104

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Pediatric Dentistry)
240 S 40TH ST, PEDIATRIC DENT-SCHOOL OF DENTAL MEDICINE
PHILADELPHIA, PA 19104
Dentist (General Practice)
240 S 40TH ST, PENN DENTAL MEDICINE
PHILADELPHIA, PA 19104
Dentist (Orthodontics and Dentofacial Orthopedics)
240 S 40TH ST
PHILADELPHIA, PA 19104
Dentist
240 S 40TH ST
PHILADELPHIA, PA 19104
Dentist (Oral and Maxillofacial Surgery)
240 S 40TH ST
PHILADELPHIA, PA 19104
Dentist (Periodontics)
240 S 40TH ST
PHILADELPHIA, PA 19104
Dentist (General Practice)
240 S 40TH ST
PHILADELPHIA, PA 19104
Dentist (Endodontics)
240 S 40TH ST, UNIVERSITY OF PENNSYLVANIA, SDM
PHILADELPHIA, PA 19104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023863057, enumerated as an "individual" on April 22, 2024.

The provider is located at 240 S 40TH ST OFFICE OF CLINICAL AFFAIRS-S6A EVANS PHILADELPHIA, PA 19104 and the phone number is (215) 573-2588.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.