Individual provider · Type 1 NPI
Byung-Boong Lee
Vascular Surgery Physician · Reston, VA
NPI number
1689602583
Active
Practice location
1830 Town Center Dr, Suite 420
Reston, VA 20190-3292
Mailing address
PO Box 631856
Baltimore, MD 21263-1856
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | 0101023617 (VA) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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About NPI 1689602583
Byung-Boong Lee's National Provider Identifier is 1689602583, issued on Jun 29, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Reston, VA. The record was last updated on Jun 17, 2013.