Phillip T Lee, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

U02398 Issued in MD

Practice address

7625 Maple Lawn Blvd Ste 155
Fulton, MD 20759-2598

Phone

(301) 890-4055

NPI assigned

Jul 7, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1669994067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10410 MONTGOMERY AVE",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208953329",
            "telephone_number": "301-890-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7625 MAPLE LAWN BLVD STE 155",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592598",
            "telephone_number": "301-890-4055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10410 Montgomery Ave",
            "address_purpose": "LOCATION",
            "city": "Kensington",
            "state": "MD",
            "postal_code": "208953329",
            "country_code": "US",
            "telephone_number": "301-890-4055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "PHILLIP",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-07",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U02398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Latorre
• Leadereship & Counsleing Concepts, LLC
• Tiffany Lebano, RN IBCLC
• Jun Hee Lee
• Patrick L Lee, MD
• Rachel A Lerman, PT, DPT, CSCS
• Marguerite Lewis
• Shanique Lewis
• Sicong Li, DMD
• Emily Lieberman, PHARMD

• Acupuncturist in Fulton, MD
• Providers in Fulton, MD by specialty
• Acupuncturist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.