Organization
JONG KOOK LEE MDPC
Active
Other names
None
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONG K LEE MD (PRESIDENT)
(703) 256-6204
Entity
Organization
Contact information
Practice address
4605 PINECREST OFFICE PARK DR, A, ALEXANDRIA, VA 22312-1442
(703) 256-6204
(703) 642-9034
Mailing address
4605 PINECREST OFFICE PARK DR, A, ALEXANDRIA, VA 22312-1442
(703) 256-6204
(703) 642-9034
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101033350
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5699797
—
VA
Enumeration date
09/25/2009
Last updated
11/09/2009
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