Provider Demographics
NPI:1750964664
Name:LEE, REBEKAH SOMANG (DO)
Entity type:Individual
Prefix:DR
First Name:REBEKAH
Middle Name:SOMANG
Last Name:LEE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:8118 GOOD LUCK RD
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3574
Mailing Address - Country:US
Mailing Address - Phone:301-552-7011
Mailing Address - Fax:301-552-8097
Practice Address - Street 1:8118 GOOD LUCK RD
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3574
Practice Address - Country:US
Practice Address - Phone:301-552-7011
Practice Address - Fax:301-552-8097
Is Sole Proprietor?:No
Enumeration Date:2021-04-29
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDH0099588207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine