Grace Lee, MD
in Fairfax, VA. Individual provider (NPI-1).
NPI number1194351106
StatusActive
Last updated in NPPESJun 30, 2025
Details
- NPI
- 1194351106
- Entity type
- Individual (NPI-1)
- Name
- Grace Lee
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2020
- Certification date
- Jun 30, 2025
- Last updated
- Jun 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0001X | 0101285322 | VA | Yes |
Practice location
8081 Innovation Park DrFairfax, VA 22031-4867
Phone 571-472-0606 · Fax 571-472-0540
Mailing address
8081 Innovation Park DrFairfax, VA 22031-4867
Phone 571-472-0606 · Fax 571-472-0540
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