Individual
SUONG K LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742-6710
(301) 665-1717
(301) 665-1810
Mailing address
PO BOX 1248, HAGERSTOWN, MD 21741-1248
(800) 938-2828
(302) 733-0854
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101240994
VA
207L00000X
Anesthesiology Physician
Primary
D0067379
MD
207LP2900X
Pain Medicine (Anesthesiology) Physician
0101240994
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
416577200
—
MD
01
—
P00989628
RAILROAD MEDICARE
MD
Enumeration date
01/11/2007
Last updated
04/18/2013
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