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Individual

JASON P. LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8220 MEADOWBRIDGE RD, SUITE 203, MECHANICSVILLE, VA 23116-2336
(804) 764-1253
(804) 764-1259
Mailing address
8220 MEADOWBRIDGE RD, SUITE 203, MECHANICSVILLE, VA 23116-2336
(804) 764-1253
(804) 764-1259

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
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