Healthcare Provider Details

I. General information

NPI: 1225155757
Provider Name (Legal Business Name): LEE MEDICAL ASSOCIATES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 06/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

618 I ST NW
WASHINGTON DC
20001-3736
US

IV. Provider business mailing address

618 I ST NW
WASHINGTON DC
20001-3736
US

V. Phone/Fax

Practice location:
  • Phone: 202-842-1118
  • Fax: 202-842-4449
Mailing address:
  • Phone: 202-842-1118
  • Fax: 202-842-4449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: ANDREW TOON LEE
Title or Position: VICE PRESIDENT
Credential: D.O.
Phone: 202-842-1118