# JONG KOOK LEE MDPC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** None
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417281221
- **Authorized official:** DR. JONG K LEE MD (PRESIDENT)
- **Authorized official phone:** (703) 256-6204

## Contact information

- **Practice address:** 4605 PINECREST OFFICE PARK DR, A, ALEXANDRIA, VA 22312-1442
- **Practice address phone:** (703) 256-6204
- **Practice address fax:** (703) 642-9034
- **Mailing address:** 4605 PINECREST OFFICE PARK DR, A, ALEXANDRIA, VA 22312-1442
- **Mailing address phone:** (703) 256-6204
- **Mailing address fax:** (703) 642-9034

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0101033350 | VA | Yes |

## Other

- **Enumeration date:** 09/25/2009
- **Last updated:** 11/09/2009