Provider Demographics
NPI:1538265590
Name:LEE, HO J (LAC,DIPLAC)
Entity type:Individual
Prefix:MR
First Name:HO
Middle Name:J
Last Name:LEE
Suffix:
Gender:M
Credentials:LAC,DIPLAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301A PARK HILL DR
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-3375
Mailing Address - Country:US
Mailing Address - Phone:540-548-0033
Mailing Address - Fax:540-374-5034
Practice Address - Street 1:301A PARK HILL DR
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-3375
Practice Address - Country:US
Practice Address - Phone:540-548-0033
Practice Address - Fax:540-374-5034
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0121000394171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0121000394OtherLICENSE