Sontaek Theodore Lee
Gynecologist
11217 Lockwood Dr
Silver Spring
, Maryland 20901-4550
Sontaek Theodore Lee
Gynecologist
11217 Lockwood Dr
Silver Spring
, Maryland 20901-4550
(301) 681-7734
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About
Features
Specialties
- Gynecologist
Languages spoken
- English
Location
First Address
- Sontaek Theodore Lee
- 11217 Lockwood Dr
- Silver Spring, MD
- Zip : 20901-4550
- Fax : (301) 681-7734
- Phone : (301) 681-7712
Second Address
- Sontaek Theodore Lee
- 11217 Lockwood Dr
- Silver Spring, MD
- Zip : 20901-4550
- Fax : (301) 681-7734
- Phone : (301) 681-7712
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | D0014522 | MD |
National Provider Identifier
| NPI | 1053330894 |
|---|---|
| Provider Name | Sontaek Theodore Lee |
| First Address | Silver Spring, MD 20901-4550 |
| Second Address | Silver Spring, MD 20901-4550 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 6280366 | (05) | VA |
| BL0371207 | DEA (01) | |
| D0014522 | STATE LICENSE (01) | MD |
| D84589 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.