Individual
HANSEL LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 N WASHINGTON ST, FALLS CHURCH, VA 22046-4518
(703) 237-4000
Mailing address
12338 JUNIPER BLOSSOM PL, CLARKSBURG, MD 20871-6349
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101259729
VA
Other
Enumeration date
04/11/2014
Last updated
06/20/2017
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