Individual
DR. JAE IN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19450 DEERFIELD AVE STE 100, LEESBURG, VA 20176-6821
(571) 350-3668
(703) 729-2689
Mailing address
2901 TELESTAR CT STE 300, FALLS CHURCH, VA 22042-1263
(703) 591-1688
(703) 591-1445
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0101268762
VA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
0101268762
VA
Other
Enumeration date
04/23/2012
Last updated
07/21/2023
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