Solomon Wansoo Lee

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

0121000973 Issued in VA

Practice address

7004 Little River Tpke Ste I
Annandale, VA 22003-3201

Phone

(703) 445-6446

Fax

(703) 763-7763

NPI assigned

Jul 7, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Renewed Oriental Medicine Clinic, Inc.

  • Clinic/Center
  • Fairfax, VA
  • NPI 1881212991
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1245858356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7004 LITTLE RIVER TPKE STE I",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033201",
            "telephone_number": "703-445-6446",
            "fax_number": "703-763-7763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7004 LITTLE RIVER TPKE STE I",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033201",
            "telephone_number": "703-445-6446",
            "fax_number": "703-763-7763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SOLOMON",
        "middle_name": "WANSOO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-07",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0121000973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "unifiedpractice.com",
            "affiliation": "N",
            "address_1": "7004 Little River Tpke Ste I",
            "city": "Annandale",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220033201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberly Keomnam Lee, D.D.S.
• Munhyang Lee, M.D.
• Rebecca Ortenzio Lee, DDS, MSD
• Sang Wook Lee, D.D.S
• Sharon Suyon Lee
• Tae Yong Lee, DDS
• Young Lee
• Leewood Investments & Associates, LLC
• Leewood VA Opco LLC
• Michael Paul Lemieux, MS CCC/SLP

• Acupuncturist in Annandale, VA
• Providers in Annandale, VA by specialty
• Acupuncturist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.