MEDICARE: EUN YOUNG LEE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	U03287	MD

General Provider Information

NPI Number	:	1003773417
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EUN YOUNG LEE

Provider Business Mailing Address
First Line	:	808 FORDHAM ST
Second Line	:
City	:	ROCKVILLE
State	:	MD
Zip	:	20850-1018
Country	:	US
Telephone Number	:	240-401-9773
Fax Number	:

Provider Business Practice Location Address
First Line	:	13975 CONNECTICUT AVE STE 209
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20906-2921
Country	:	US
Telephone Number	:	240-401-9773
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/07/2026
Last Update Date	:	01/07/2026

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Directions to “ EUN YOUNG LEE ” Practice Location

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