Provider Demographics
NPI:1104881838
Name:LEE, CHRISTINE H (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:H
Last Name:LEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:H
Other - Last Name:SHIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:950N GLEBE RD 4000
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203-1824
Mailing Address - Country:US
Mailing Address - Phone:571-295-7514
Mailing Address - Fax:
Practice Address - Street 1:8988 LORTON STATION BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:LORTON
Practice Address - State:VA
Practice Address - Zip Code:22079-4756
Practice Address - Country:US
Practice Address - Phone:703-339-7550
Practice Address - Fax:703-339-7553
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101236798207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
I18815Medicare UPIN
DEG00532Medicare PIN
VA015055F32Medicare ID - Type Unspecified
DCG00532Medicare PIN
MDG00532Medicare PIN