Individual
DR. CHANG HA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3930 WALNUT ST, SUITE 220, FAIRFAX, VA 22030-4738
(703) 865-5899
(703) 865-6199
Mailing address
3930 WALNUT ST, SUITE 220, FAIRFAX, VA 22030-4738
(703) 865-5899
(703) 865-6199
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557024
VA
111N00000X
Chiropractor
S03697
MD
Other
Enumeration date
10/24/2012
Last updated
10/26/2016
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