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Individual

DR. LEE SELZNICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1818 AMHERST ST, WINCHESTER, VA 22601-2869
(540) 450-0072
(540) 450-0074
Mailing address
220 CAMPUS BLVD STE 210, WINCHESTER, VA 22601-2889
(540) 536-5100
(540) 536-0235

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
0101241479
VA
207T00000X
Neurological Surgery Physician
29697
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1104945997
VA
01
358707
ANTHEM BCBS
VA
05
3810009350
WV
01
P00657226
MEDICARE RR
VA
Enumeration date
03/29/2007
Last updated
07/28/2023
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