Individual
JULIA LEE WU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3600 JOSEPH SIEWICK DR, FAIRFAX, VA 22033-1709
(703) 391-3600
(703) 391-3414
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110004110
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144567942
—
VA
Enumeration date
01/14/2013
Last updated
03/31/2022
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