Lee, Sontaek Theodore
Lee, Sontaek Theodore is an sole proprietor health care provider with primary practice located at 11217 Lockwood Dr , Silver Spring MD 20901-4550. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Lee, Sontaek Theodore can be contacted via phone (301) 681-7712.Contact Information
Primary practice address
11217 Lockwood Dr
Silver Spring MD 20901-4550
Phone: (301) 681-7712
Fax: (301) 681-7734
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | D0014522 | Maryland |
Profile Details
| NPI number | 1053330894 |
|---|---|
| LBN Legal business name | Lee, Sontaek Theodore |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Mar 7th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053330894 | NPPES |
| Virginia | MEDICAID | 6280366 | |
| Virginia | Other | D0014522 |
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