Individual
JACOB LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
525 AMHERST ST STE 104, WINCHESTER, VA 22601-3881
(540) 931-0400
Mailing address
525 AMHERST ST STE 104, WINCHESTER, VA 22601-3881
(540) 931-0400
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
0102204167
VA
208VP0014X
Interventional Pain Medicine Physician
Primary
H80550
MD
Other
Enumeration date
04/07/2010
Last updated
10/14/2025
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