Physician Compare National (NPI:1598070732)

HEALTHCARE PROVIDER: JEE EUN LEE KARL M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1598070732
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2264620988
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150616000147
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LEE KARL
	Individual professional last name
Provider First Name	JEE EUN
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2000
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	HERITAGE FAMILY PRACTICE ASSOCIATES, P.C.
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	5294765210
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	4001 FAIR RIDGE DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 101
	Group Practice or individual's line 2 address
City	FAIRFAX
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	220332917
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7033856789
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y