Individual
JASON P. LEE
Active
Individual
JASON P. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101054821
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005847877
—
VA
01
—
110170394
RAILROAD MEDICARE
VA
01
—
296097
MAMSI
VA
01
—
432879
ANTHEM BCBS OF VA
VA
01
—
44012
SENTARA
VA
01
—
5638598
AETNA HMO
VA
01
—
85598
SOUTHERN HEALTH SERVICES
VA
01
—
9609490
CIGNA
VA
Enumeration date
07/06/2006
Last updated
11/24/2009
Update your record
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