Individual
DR. SOPHIA D LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8988 LORTON STATION BLVD, SUITE 202, LORTON, VA 22079-4758
(703) 372-2280
(703) 372-2024
Mailing address
224-D CORNWALL ST NW, SUITE 403, LEESBURG, VA 20176-1816
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101102658
VA
208600000X
Surgery Physician
4301087204
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30015941430001
—
VA
01
—
C06115
GROUP PTAN
VA
01
—
C06695
GROUP PTAN
VA
Enumeration date
05/01/2006
Last updated
10/06/2023
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