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Organization

FAIRFAX FAMILY PRACTICE CENTERS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID W LEE MD (PRESIDENT)
(703) 424-6338
Entity
Organization

Contact information

Practice address
381 ELDEN ST STE 1000, HERNDON, VA 20170-4842
(703) 481-1505
(703) 742-8793
Mailing address
381 ELDEN ST STE 1000, HERNDON, VA 20170-4842
(703) 481-1505
(703) 742-8793

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
261QP2000X
Physical Therapy Clinic/Center
363A00000X
Physician Assistant
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
08/25/2006
Last updated
02/09/2026
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