Individual
ERIC S LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 EXECUTIVE CENTER PARKWAY R.G.W., SUITE 102, FREDERICKBURG, VA 22401
(540) 654-5333
(540) 654-5334
Mailing address
7501 GREENWAY CENTER DR # 300, GREENBELT, MD 20770-3514
(301) 474-4679
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0101244140
VA
207W00000X
Ophthalmology Physician
D68270
MD
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
0101244140
VA
207WX0107X
Retina Specialist (Ophthalmology) Physician
D68270
MD
207WX0107X
Retina Specialist (Ophthalmology) Physician
MD037531
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057040400
—
DC
05
—
1356329981
—
VA
05
—
570113900
—
MD
Enumeration date
01/04/2006
Last updated
04/09/2019
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