Individual
DR. KATHERINE J SOUTHWELL LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
240 HYDRAULIC RIDGE RD, STE. 103, CHARLOTTESVILLE, VA 22901-8130
(434) 953-9794
Mailing address
5231 PARK RIDGE CT, CROZET, VA 22932-3162
(434) 953-9794
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401412487
VA
390200000X
Student in an Organized Health Care Education/Training Program
0401412487
VA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/28/2009
Last updated
04/10/2026
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