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NPI Code Detail

MEDICARE: DR. JUNSOO ALEXANDER LEE MD

MEDICARE: DR. JUNSOO ALEXANDER LEE MD
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
1207RC0000XCardiovascular Disease Physician0101250996VA
2207RI0011XInterventional Cardiology Physician0101250996VA
3207R00000XInternal Medicine Physician0101250996VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10101250996OTHERVAVIRGINIA STATE LICENSE

General Provider Information

NPI Number : 1427283563
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUNSOO ALEXANDER LEE MD
Provider Business Mailing Address
First Line : 1830 TOWN CENTER DR STE 405
Second Line :
City : RESTON
State : VA
Zip : 20190-3218
Country : US
Telephone Number : 703-481-9191
Fax Number : 571-423-5082
Provider Business Practice Location Address
First Line : 1830 TOWN CENTER DR STE 405
Second Line :
City : RESTON
State : VA
Zip : 20190-3218
Country : US
Telephone Number : 703-481-9191
Fax Number : 571-423-5082
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2009
Last Update Date : 07/21/2022

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