Individual
DR. JAI K LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3600 JOSEPH SIEWICK DR, FAIRFAX, VA 22033-1709
(703) 391-3129
(703) 295-9369
Mailing address
PO BOX 37090, BALTIMORE, MD 21297-3090
(703) 295-9360
(703) 295-9369
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
0101033080
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033577
ANTHEM
VA
01
—
050052743
RAILROAD MEDICARE
VA
05
—
1124047477
—
VA
01
—
298102
AMERIGROUP
VA
01
—
493814
NCPPO
VA
01
—
K142-0001
CARE FIRST
VA
Enumeration date
07/18/2006
Last updated
08/26/2008
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