Individual
EUNJI LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
200 NORTH MAPLE AVENUE, PURCELLVILLE, VA 20132-6100
(540) 338-0032
Mailing address
224-D CORNWALL STREET, NW, SUITE 403, LEESBURG, VA 20176-2704
(703) 737-6010
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024188029
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730945866
—
VA
05
—
30017812900001
—
VA
Enumeration date
02/26/2024
Last updated
04/26/2024
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