Doctor Name: | DR. SUKHYUNG LEE |
NPI Number: | 1699719880 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 010237741 |
Business Practice Address: | 8901 Wisconsin Ave Walter Reed National Military Medical Center Bethesda, MD - 208890004 |
Business Phone Number: | 3013192316 |
Business Fax Number: | |
Mailing Address: | 8901 Wisconsin Ave, Walter Reed National Military Medical Center BETHESDA |
State: | MD |
Postal Code: | 208890004 |
Phone Number: | 3013192316 |
Fax Number: | |
NPI Enumeration Date: | 06/16/2006 |
NPI Last Update Date: | 10/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171000000X |
License Number: | 010237741 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Military Health Care Provider |
Taxonomy Specialization: | |
Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |