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NPI Code Detail

MEDICARE: SEON K LEE

MEDICARE:   SEON K 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
1103T00000XPsychologist0805002689VA

General Provider Information

NPI Number : 1790560860
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEON K LEE
Provider Business Mailing Address
First Line : 333 S GLEBE RD APT 410
Second Line :
City : ARLINGTON
State : VA
Zip : 22204-1607
Country : US
Telephone Number : 202-750-3829
Fax Number :
Provider Business Practice Location Address
First Line : 333 S GLEBE RD APT 315
Second Line :
City : ARLINGTON
State : VA
Zip : 22204-1654
Country : US
Telephone Number : 908-397-8419
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2023
Last Update Date : 02/17/2026

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Directions to “ SEON K LEE ” Practice Location

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