Individual
GEUNJAE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
850 SOUTHAMPTON AVE, NORFOLK, VA 23510-1021
(757) 668-4673
Mailing address
850 SOUTHAMPTON AVE, NORFOLK, VA 23510-1021
(757) 668-4673
(757) 668-8870
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024180202
VA
Other
Enumeration date
11/09/2020
Last updated
12/21/2023
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