Lee, Brent R

Lee, Brent R is an individual health care provider with primary practice located at 4320 Seminary Rd , Alexandria VA 22304-1535. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Lee, Brent R can be contacted via phone (703) 504-4270.

Contact Information

Primary practice address
4320 Seminary Rd Alexandria VA 22304-1535
Phone: (703) 504-4270
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 0101232682 Virginia

Profile Details

NPI number 1932290376
LBN Legal business name Lee, Brent R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Dec 16th, 2014 - about 10 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932290376 NPPES
Virginia Other 493812 NCPPO
Virginia Other 219815 NCPPO
Virginia Other 297893 NCPPO
Virginia Other 050086420 NCPPO
Virginia MEDICAID 1932290376 NCPPO
Virginia Other K142-0001 NCPPO

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