Lee, Suong K
Lee, Suong K is an individual health care provider with primary practice located at 11116 Medical Campus Rd , Hagerstown MD 21742-6710. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Lee, Suong K can be contacted via phone (301) 665-1717.Contact Information
Primary practice address
11116 Medical Campus Rd
Hagerstown MD 21742-6710
Phone: (301) 665-1717
Fax: (301) 665-1810
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 0101240994 | Virginia |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | D0067379 | Maryland |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 0101240994 | Virginia |
Profile Details
| NPI number | 1518017441 |
|---|---|
| LBN Legal business name | Lee, Suong K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Apr 18th, 2013 - about 11 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 | 1518017441 | NPPES |
| Maryland | MEDICAID | 416577200 | |
| Maryland | Other | P00989628 |
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