Individual
DR. SEUNGJAE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12030 NORTH SHORE DR, RESTON, VA 20190
(703) 471-4600
(703) 471-4601
Mailing address
2619 GLENGYLE DR, VIENNA, VA 22181-5570
(703) 471-4600
(703) 471-4601
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
0104556582
VA
Other
Enumeration date
04/04/2008
Last updated
04/04/2008
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