Individual
BYUNG-BOONG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1830 TOWN CENTER DR, SUITE 420, RESTON, VA 20190-3292
(703) 880-9500
Mailing address
PO BOX 631856, BALTIMORE, MD 21263-1856
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
0101023617
VA
Other
Enumeration date
06/29/2006
Last updated
06/17/2013
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