MEDICARE: MIJUNG LEE M.AC., L.AC.

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	U02100	MD

General Provider Information

NPI Number	:	1962827915
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIJUNG LEE M.AC., L.AC.

Provider Business Mailing Address
First Line	:	5800 MIDHILL ST
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20817-6173
Country	:	US
Telephone Number	:	202-802-5225
Fax Number	:

Provider Business Practice Location Address
First Line	:	9020 OLD GEORGETOWN RD
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20814-1514
Country	:	US
Telephone Number	:	202-802-5225
Fax Number	:

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

Provider Enumeration Date	:	02/27/2014
Last Update Date	:	06/02/2026

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