Individual
JAMES J LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
44320 PREMIER PLAZA, SUITE 110, ASHBURN, VA 20147-5076
(703) 723-8727
(703) 723-9787
Mailing address
44320 PREMIER PLAZA, SUITE 110, ASHBURN, VA 20147-5076
(703) 723-8727
(703) 723-9787
Taxonomy
Speciality
Code
Description
License number
State
207YX0602X
Otolaryngic Allergy Physician
Primary
0101237837
VA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
0101237837
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326052184
—
VA
01
—
2179242
ONE NET
VA
01
—
5889390
CIGNA
VA
01
—
7564667
AETNA
VA
01
—
D393-0002
CAREFIRST BCBS
VA
Enumeration date
07/28/2006
Last updated
01/19/2009
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