Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477832459 Individual Practitioner Male Practitioner

Dr. Lee Seob Park , DC

Chiropractor • Centreville, VA

Professional Overview & Biography Verified Profile Summary

Dr. Lee Park, DC is a registered healthcare professional specializing in Chiropractor in Centreville, VA. Practice services are available at 14701 LEE HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

14701 Lee Hwy
Suite 307

Centreville, VA 201212137

Telephone 7035434810
Fax 7035434811
Associated Practice Facility / Clinic
🏢 Nulife Physical Therapy P. C. Facility NPI 1598747404

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Centreville, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 23.9 Yrs
Regional Practice Density
24 Specialists

Practicing in Centreville, VA (1607 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-09-14
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License VA 0104556574

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dae Hyung Kim

Acupuncturist

NPI 1023561339
Traci Marin , CNM

Advanced Practice Midwife

NPI 1053692343

Certified Nurse Midwife

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 14, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location February 14, 2013

Registered at 14701 LEE HWY, SUITE 307, CENTREVILLE, VA 201212137 (Tel: 7035434810)

📍
Updated Business Mailing Address February 14, 2013

Registered at 14701 LEE HWY, SUITE 307, CENTREVILLE, VA 201212137 (Tel: 7035434810)

👤
Provider Name / Credentials Updated February 14, 2013

Recorded as LEE PARK, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2013

Chiropractor (License #0104556574 in VA)

🟢
Initial NPI Registration & Enumeration August 09, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477832459
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2011
Last Update: September 14, 2021
Sole Proprietor: No

Mailing Address

14701 Lee Hwy, Suite 307

Centreville, VA 201212137

Phone: 7035434810

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.