Individual
JAE Y. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
419 HOLIDAY COURT, SUITE 100, WARRENTON, VA 20186
(540) 347-4200
(540) 341-7054
Mailing address
419 HOLIDAY COURT, SUITE 100, WARRENTON, VA 20186
(540) 347-4200
(540) 341-7054
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101230359
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010026024
—
VA
Enumeration date
02/15/2006
Last updated
01/21/2015
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