Lee, Michael D

Lee, Michael D is an individual health care provider with primary practice located at 202 Duke Of Gloucester St Sw , Roanoke VA 24014-1372. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Lee, Michael D can be contacted via phone (540) 345-4900.

Contact Information

Primary practice address
202 Duke Of Gloucester St Sw Roanoke VA 24014-1372
Phone: (540) 345-4900
Fax: (540) 345-4179
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 519 South Carolina
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 0102049900 Virginia

Profile Details

NPI number 1821040155
LBN Legal business name Lee, Michael D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Mar 4th, 2011 - about 14 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 1821040155 NPPES
Virginia MEDICAID 1821040155
Virginia MEDICAID T00390

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