Doctor Name: | DR. TOON LEE |
NPI Number: | 1114915626 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 0102018517 |
Business Practice Address: | 618 I St Nw Washington, DC - 200013736 |
Business Phone Number: | 2028421118 |
Business Fax Number: | 2028424449 |
Mailing Address: | 618 I St Nw, WASHINGTON |
State: | DC |
Postal Code: | 200013736 |
Phone Number: | 2028421118 |
Fax Number: | 2028424449 |
NPI Enumeration Date: | 10/10/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 0102018517 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |