Provider Demographics
NPI:1205998358
Name:LEE, HON K (LAC, DIPLOM)
Entity type:Individual
Prefix:DR
First Name:HON
Middle Name:K
Last Name:LEE
Suffix:
Gender:M
Credentials:LAC, DIPLOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1033 STERLING RD STE 105
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20170-3837
Mailing Address - Country:US
Mailing Address - Phone:571-306-0533
Mailing Address - Fax:703-537-0229
Practice Address - Street 1:1033 STERLING RD STE 105
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170-3837
Practice Address - Country:US
Practice Address - Phone:571-306-0533
Practice Address - Fax:703-537-0229
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0121000348171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist