Individual
YOUNGHAE LISA HYUN-PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19455 DEERFIELD AVENUE, SUITE 204, LEESBURG, VA 20176-8102
(703) 858-1500
(703) 858-5022
Mailing address
224-D CORNWALL STREET, NW, SUITE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101050893
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134178965
—
VA
05
—
30015843880001
—
VA
Enumeration date
05/09/2006
Last updated
03/12/2024
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