Lee, Eric S

Lee, Eric S is an individual health care provider with primary practice located at 200 Executive Center Parkway R.G.W. Suite 102, Frederickburg VA 22401. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Lee, Eric S can be contacted via phone (540) 654-5333.

Contact Information

Primary practice address
200 Executive Center Parkway R.G.W. Suite 102 Frederickburg VA 22401
Phone: (540) 654-5333
Fax: (540) 654-5334
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X D68270 Maryland
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0101244140 Virginia
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X D68270 Maryland
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X MD037531 District of Columbia
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 0101244140 Virginia

Profile Details

NPI number 1356329981
LBN Legal business name Lee, Eric S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Apr 9th, 2019 - about 6 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 1356329981 NPPES
District of Columbia MEDICAID 057040400
District of Columbia MEDICAID 1356329981
District of Columbia MEDICAID 570113900

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