Individual
DR. KI NYOUNG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3947 FERRARA DRIVE, WHEATON, MD 20906-4709
(301) 942-9004
(301) 942-9004
Mailing address
9806 SORREL AVE, POTOMAC, MD 20854
(301) 299-8160
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
D0023473
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
555625
AETNA
—
05
—
975221800
—
MD
Enumeration date
01/02/2007
Last updated
07/08/2007
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