Individual
JONG K LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4605 A PINECREST OFFICE, ALEXANDRIA, VA 22312
(703) 256-6204
Mailing address
4605A PINECREST OFFICE PARK DR, ALEXANDRIA, VA 22312-1442
(703) 256-6204
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101033350
VA
Other
Enumeration date
06/02/2006
Last updated
12/19/2012
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