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Alice Jisoo Lee, MD
Obstetrics & Gynecology Physician in Centreville, Virginia
NPI 1447612700

Alice Jisoo Lee is a Obstetrics & Gynecology Physician based in Centreville, VA. Alice Jisoo Lee practices in Centreville, VA and has the professional credentials of MD. The NPI Number for Alice Jisoo Lee is 1447612700 and holds a License No. (Virginia).

The current practice location address for Alice Jisoo Lee is 13890 Braddock Road, Centreville, VA and can be reached out via phone at 703-988-8828 and via fax at 571-526-5598. You can also correspond with Alice Jisoo Lee through the mailing address at 13890 BRADDOCK ROAD, CENTREVILLE, VA - 20121 (mailing address contact number: 703-988-8828).

Location: 13890 Braddock Road, Centreville, VA, 20121
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447612700
Provider Name
Alice Jisoo Lee
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
13890 Braddock Road, Centreville, VA, 20121
Phone Number
703-988-8828
Fax Number
571-526-5598
Provider Enumeration Date
03/25/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13890 Braddock Road
City
Centreville
State
Virginia
Zip
20121
Phone Number
703-988-8828
Fax Number
571-526-5598
person
Provider Business Mailing Address Details
Address
13890 Braddock Road
City
Centreville
State
Virginia
Zip
20121
Phone Number
703-988-8828
Fax Number
571-526-5598
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
0101269805 (Virginia)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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