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Bonmyong Lee, MD
Diagnostic Radiology Physician in Fairfax, Virginia
NPI 1093923047

Bonmyong Lee is a Diagnostic Radiology Physician based in Fairfax, VA and is specialized in Diagnostic Radiology. Bonmyong Lee practices in Fairfax, VA and has the professional credentials of MD. The NPI Number for Bonmyong Lee is 1093923047 and holds a License No. 0101241454 (Virginia).

The current practice location address for Bonmyong Lee is 2722 Merrilee Dr Ste 230, Fairfax, VA and can be reached out via phone at 703-698-4444 and via fax at 703-204-0116.

Location: 2722 Merrilee Dr Ste 230, Fairfax, VA, 22031-4400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093923047
Provider Name
Bonmyong Lee
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2722 Merrilee Dr Ste 230, Fairfax, VA, 22031-4400
Phone Number
703-698-4444
Fax Number
703-204-0116
Provider Enumeration Date
05/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
289604ZARD 05 DC
540846558 01 MULTIPLAN - PHCS NETWORK ONLY
1093923047 05 VA
0131 01 CAREFIRST
328550 01 KAISER
3810025992 05 WV
75759 01 VA AMERIGROUP
institution
Provider Business Practice Location Address Details
Address
2722 Merrilee Dr Ste 230
City
Fairfax
State
Virginia
Zip
22031-4400
Phone Number
703-698-4444
Fax Number
703-204-0116
person
Provider Business Mailing Address Details
Address
2722 Merrilee Dr Ste 230
City
Fairfax
State
Virginia
Zip
22031-4400
Phone Number
703-698-4444
Fax Number
703-204-0116
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
0101241454 (Virginia)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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