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Individual

DR. TIMOTHY N LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
919 S CHURCH ST, SMITHFIELD, VA 23430-1715
(757) 365-8018
(757) 356-9451
Mailing address
2800 GODWIN BLVD, STE 210, SUFFOLK, VA 23434-8038
(757) 934-4162
(757) 934-4246

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101047603
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005620015
VA
01
393618
ANTHEM PROVIDER NUMBER
VA
Enumeration date
07/11/2006
Last updated
04/11/2016
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