Lee, Nicole Jennifer

Lee, Nicole Jennifer is an individual health care provider with primary practice located at 410 Maple Avenue West Ste. 5, Vienna VA 22180. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Lee, Nicole Jennifer can be contacted via phone (703) 938-2244.

Contact Information

Primary practice address
410 Maple Avenue West Ste. 5 Vienna VA 22180
Phone: (703) 938-2244
Fax: (703) 938-3669
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101238041 Virginia

Profile Details

NPI number 1942280508
LBN Legal business name Lee, Nicole Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Jan 18th, 2012 - about 12 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 1942280508 NPPES
Virginia MEDICAID 010159407

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