Individual
DR. GRACE SUE YING MARK LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
9600 MAIN ST, SUITE H, FAIRFAX, VA 22031-3798
(703) 764-3937
(703) 764-3986
Mailing address
USAMEDDAC, 2480 LLEWELLYN AVE, FORT GEORGE G MEADE, MD 20755
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001170
VA
Other
Enumeration date
06/15/2006
Last updated
02/23/2024
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