Lee, Yo Sup

Lee, Yo Sup is an individual health care provider with primary practice located at 2501 Parkers Lane , Alexandria VA 22306-3209. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Lee, Yo Sup can be contacted via phone (703) 664-7048.

Contact Information

Primary practice address
2501 Parkers Lane Alexandria VA 22306-3209
Phone: (703) 664-7048
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 0001186693 Virginia

Profile Details

NPI number 1700921590
LBN Legal business name Lee, Yo Sup
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2007
Last updated Mar 23rd, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700921590 NPPES
Maryland MEDICAID 416240401
Maryland MEDICAID 1700921590

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