Individual
DR. EDWARD I LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1840 AMHERST ST, STE 4C, WINCHESTER, VA 22601-2808
(540) 536-7897
(540) 536-7843
Mailing address
PO BOX 1910, WINCHESTER, VA 22604-8060
(866) 878-4221
(540) 536-4359
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
0101057733
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006726828
—
VA
05
—
0111639000
—
WV
05
—
1881956
—
PA
05
—
200480770
—
IN
01
—
204887
ANTHEM
VA
05
—
400188500
—
MD
Enumeration date
10/25/2005
Last updated
03/29/2021
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