Individual
JASON LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1760 OLD MEADOW RD STE 220, MC LEAN, VA 22102-4330
(703) 828-8066
(855) 461-1618
Mailing address
1760 OLD MEADOW RD STE 220, MC LEAN, VA 22102-4330
(703) 828-8066
(855) 461-1618
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
0102204241
VA
Other
Enumeration date
01/24/2014
Last updated
07/03/2024
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