Individual
NATHAN W LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5855 BREMO RD, SUITE 506, RICHMOND, VA 23226-1930
(804) 893-8676
(804) 285-0360
Mailing address
5855 BREMO RD, SUITE 506, RICHMOND, VA 23226-1930
(804) 893-8676
(804) 285-0360
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101253092
VA
390200000X
Student in an Organized Health Care Education/Training Program
0116019597
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06695
GROUP PTAN
VA
Enumeration date
06/19/2008
Last updated
04/30/2013
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