Brock, Lee R
Brock, Lee R is an sole proprietor health care provider with primary practice located at 4304 Lafayette Blvd , Fredericksburg VA 22408-4234. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Brock, Lee R can be contacted via phone (540) 891-4444.Contact Information
Primary practice address
4304 Lafayette Blvd
Fredericksburg VA 22408-4234
Phone: (540) 891-4444
Fax: (540) 891-9034
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 0101032219 | Virginia |
Profile Details
| NPI number | 1063444792 |
|---|---|
| LBN Legal business name | Brock, Lee R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Jan 23rd, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063444792 | NPPES |
| Virginia | MEDICAID | 6398707 |
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