Organization
CONNIE D. LE, M.D, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE D LE M.D. (PRESIDENT)
(703) 642-6633
Entity
Organization
Contact information
Practice address
4208 EVERGREEN LN, SUITE 214, ANNANDALE, VA 22003-3235
(703) 642-6633
(703) 642-6699
Mailing address
4208 EVERGREEN LN, SUITE 214, ANNANDALE, VA 22003-3235
(703) 642-6633
(703) 642-6699
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
0101237697
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
178649
UNICARE
VA
01
—
2536483
UNITED HEALTH CARE
VA
01
—
3850929
AETNA HMO
VA
01
—
7120704
AETNA NON HMO
VA
01
—
720471
NCPPO, HEALTH LINK
VA
01
—
9166111
CIGNA
VA
01
—
9389238
PHCS
VA
01
—
K8390001
BLUE CROSS BLUE SHIELD
VA
Enumeration date
10/24/2007
Last updated
10/24/2007
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