BAEKCHEOL LEE


Address: 15200 Shady Grove Rd Ste 108, Rockville, MD 20850-3218
Phone: 3016106630

BAEKCHEOL LEE (NPI# 1114405537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114405537
Entity Type Individual
Full Name BAEKCHEOL LEE
Credential NP
Practice Address 15200 Shady Grove Rd Ste 108
Rockville
MD 20850-3218
Practice Telephone 3016106630
Mailing Telephone 3016106630
Enumeration Date 2018-07-30
Last Update Date 2018-07-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
R207157 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 15200 SHADY GROVE RD STE 108
City ROCKVILLE
State MD
Zip Code 20850-3218

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336776335 Betty Lou Meier-forbes Nurse Practitioner 811 50 N, Rockville, IN 47872 2020-03-27
1073160388 Robin Burgess Nurse Practitioner 11750 Old Georgetown Rd Unit 2410, Rockville, MD 20852 2019-08-21
1881155901 Princess Stephenson Nurse Practitioner 15200 Shady Grove Rd Ste 320, Rockville, MD 20850-3218 2019-03-29
1609337252 Esther Vinolia Koilpillai Nurse Practitioner 15225 Shady Grove Rd Ste 304, Rockville, MD 20850-3256 2019-03-27
1790242493 Annette M Jamison Nurse Practitioner 50 W Gude Dr Ste 46b, Rockville, MD 20850-1150 2019-02-28
1548727811 Erica Michelle Moreland Nurse Practitioner 10110 Molecular Dr Ste 114, Rockville, MD 20850-7538 2019-02-22
1568956530 Insun Choi Mandlebaum Nurse Practitioner 12253 Tildenwood Dr, Rockville, MD 20852-4161 2018-06-21
1366945016 Hannah Hyekyung Lee Nurse Practitioner 2401 Research Blvd Ste 330, Rockville, MD 20850-6255 2018-03-08
1982119376 Oyebisi Ifeoluwa-eniola Olanrewaju Nurse Practitioner 14804 Physicians Ln Ste 121, Rockville, MD 20850-3912 2017-12-06
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Competitor

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City ROCKVILLE
Zip Code 20850

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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