Lee, Gerald K

Lee, Gerald K is an individual health care provider with primary practice located at 8551 Rixlew Lane Suite 140, Manassas VA 20109-4278. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Lee, Gerald K can be contacted via phone (703) 361-4357.

Contact Information

Primary practice address
8551 Rixlew Lane Suite 140 Manassas VA 20109-4278
Phone: (703) 361-4357
Fax: (703) 361-0346
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X D0054211 Maryland
Allopathic & Osteopathic Physicians / General Practice 208D00000X 0101057543 Virginia
Allopathic & Osteopathic Physicians / General Practice 208D00000X 01010575543 Virginia
Allopathic & Osteopathic Physicians / General Practice 208D00000X D0054211 Maryland
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 0101057543 Virginia

Profile Details

NPI number 1184809030
LBN Legal business name Lee, Gerald K
Credentials M.D., PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2008
Last updated May 20th, 2024 - about 4 months 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 1184809030 NPPES
Virginia Other 182042 ANTHEM

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