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:
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Health care specialties

SpecialtyCodeLicense #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 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518017441 NPPES
Maryland MEDICAID 416577200
Maryland Other P00989628

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