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Individual

DR. JOHN H LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2722 MERRILEE DR, SUITE 230, FAIRFAX, VA 22031-4400
(703) 698-4483
(703) 573-0880
Mailing address
2722 MERRILEE DR, SUITE 230, FAIRFAX, VA 22031-4400
(703) 698-4483
(703) 573-0880

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101240076
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0091
CAREFIRST BCBS
VA
01
1536346
AETNA HMO
VA
01
259989
KAISER
VA
05
3810006594
WV
01
7974929
AETNA
VA
Enumeration date
11/03/2005
Last updated
02/06/2008
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