| Lifetree Internal Medicine | |
|
24585 Stone Carver Dr Ste 100 Aldie VA 20105-2798 | |
| (716) 868-9146 | |
| Not Available |
| Full Name | Lifetree Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 24585 Stone Carver Dr Ste 100, Aldie, Virginia |
| Authorized Official Name and Position | Dongjin Sung (OWNER) |
| Authorized Official Contact | 7168689146 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetree Internal Medicine 6405 Woodsong Ct Mc Lean VA 22101-4122 Ph: () - | Lifetree Internal Medicine 24585 Stone Carver Dr Ste 100 Aldie VA 20105-2798 Ph: (716) 868-9146 |
| NPI Number | 1326555087 |
|---|---|
| Provider Enumeration Date | 01/03/2018 |
| Last Update Date | 01/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326555087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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