Individual
DR. MAXINE M LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5115 BERNARD DR STE 201, ROANOKE, VA 24018-4367
(540) 345-0289
(540) 345-9569
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101229173
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538147814
—
VA
05
—
1538147814
—
WV
Enumeration date
01/06/2006
Last updated
12/05/2024
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