# ENT & ALLERGY SPECIALISTS OF VIRGINIA PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093992570
- **Authorized official:** DR. JAMES JAY LEE M.D. (PRESIDENT)
- **Authorized official phone:** (703) 723-8727

## Contact information

- **Practice address:** 44320 PREMIER PLZ, SUITE 110, ASHBURN, VA 20147-5076
- **Practice address phone:** (703) 723-8727
- **Practice address fax:** (703) 723-9787
- **Mailing address:** 44320 PREMIER PLZ, SUITE 110, ASHBURN, VA 20147-5076
- **Mailing address phone:** (703) 723-8727
- **Mailing address fax:** (703) 723-9787

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207KA0200X | Allergy Physician | 0101242747 | VA | — |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | 0101237837 | VA | Yes |

## Other

- **Enumeration date:** 01/27/2008
- **Last updated:** 01/23/2009