Individual
CLIFTON C LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1250 E MARSHALL STREET, PEDIATRICS, RICHMOND, VA 23298-0510
(804) 628-7337
(804) 828-6301
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101053632
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006715591
—
VA
05
—
1457378093
—
VA
Enumeration date
07/17/2006
Last updated
09/21/2011
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