Individual
DR. VICKIE KYURAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
44320 PREMIER PLZ, SUITE #110, ASHBURN, VA 20147-5076
(703) 723-8727
(703) 723-9787
Mailing address
44320 PREMIER PLZ, SUITE #110, ASHBURN, VA 20147-5076
(703) 723-8727
(703) 723-9787
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
0101242747
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346423381
—
VA
01
—
3179242
ONENET
VA
01
—
4569213
CIGNA
VA
01
—
952108
AETNA
VA
01
—
D393-0001
CAREFIRST BCBS
VA
Enumeration date
12/13/2007
Last updated
08/25/2008
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