Provider Demographics
NPI:1184929275
Name:LEE-SEDERA, YOOJIN (OMD ND)
Entity type:Individual
Prefix:DR
First Name:YOOJIN
Middle Name:
Last Name:LEE-SEDERA
Suffix:
Gender:F
Credentials:OMD ND
Other - Prefix:
Other - First Name:YOOJIN
Other - Middle Name:
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND OMD
Mailing Address - Street 1:3030 S JONES BLVD
Mailing Address - Street 2:STE 107
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146
Mailing Address - Country:US
Mailing Address - Phone:701-708-2207
Mailing Address - Fax:888-809-4639
Practice Address - Street 1:3030 S JONES BLVD
Practice Address - Street 2:STE 107
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146
Practice Address - Country:US
Practice Address - Phone:701-708-2207
Practice Address - Fax:888-809-4639
Is Sole Proprietor?:No
Enumeration Date:2011-01-20
Last Update Date:2020-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1806175F00000X
AZ16-1557175F00000X
NV2011171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No175F00000XOther Service ProvidersNaturopath