Individual
LEE G STALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
400 CAMPUS BLVD., SUITE 100, WINCHESTER, VA 22601-2873
(540) 662-1108
(540) 450-2244
Mailing address
1870 AMHERST ST, WINCHESTER, VA 22601-2873
(540) 536-0110
(540) 536-0154
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024172929.
VA
Other
Enumeration date
08/20/2010
Last updated
05/24/2023
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