Individual
YOUNG LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7535 LITTLE RIVER TPKE STE 204, ANNANDALE, VA 22003-2989
(703) 679-2010
Mailing address
7535 LITTLE RIVER TPKE STE 204, ANNANDALE, VA 22003-2989
(703) 679-2010
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
152315
VA
Other
Enumeration date
06/16/2023
Last updated
06/29/2023
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