Doctor Name: | DR. JONATHAN CHUANG-YIEN LEE |
NPI Number: | 1821284753 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 0101247972 |
Business Practice Address: | 5477 Mooretown Rd Farley Center At Williamsburg Place Williamsburg, VA - 231882108 |
Business Phone Number: | 7575650106 |
Business Fax Number: | 7575650620 |
Mailing Address: | 5477 Mooretown Rd, WILLIAMSBURG |
State: | VA |
Postal Code: | 231882108 |
Phone Number: | 7575650106 |
Fax Number: | |
NPI Enumeration Date: | 09/25/2007 |
NPI Last Update Date: | 05/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | 0101247972 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |