Individual
TRAVIS LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2147 OLD GREENBRIER RD, SUITE B, CHESAPEAKE, VA 23320-2635
(757) 366-0200
(949) 225-1619
Mailing address
2147 OLD GREENBRIER RD, SUITE B, CHESAPEAKE, VA 23320-2635
(757) 366-0200
(949) 225-1619
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101241301
VA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
0101241301
VA
Other
Enumeration date
10/22/2007
Last updated
05/31/2016
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