Individual
DR. JUNSOO ALEXANDER LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1830 TOWN CENTER DR STE 405, RESTON, VA 20190-3218
(703) 481-9191
(571) 423-5082
Mailing address
1830 TOWN CENTER DR STE 405, RESTON, VA 20190-3218
(703) 481-9191
(571) 423-5082
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101250996
VA
207RC0000X
Cardiovascular Disease Physician
0101250996
VA
207RI0011X
Interventional Cardiology Physician
0101250996
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101250996
VIRGINIA STATE LICENSE
VA
Enumeration date
05/19/2009
Last updated
07/21/2022
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