Organization
ELEETE PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW C LEE M.D. (PRACTITIONER/OWNER)
(804) 358-1492
Entity
Organization
Contact information
Practice address
5700 OLD RICHMOND AVE, SUITE A-5, RICHMOND, VA 23226-1828
(804) 358-1492
(804) 358-1491
Mailing address
5700 OLD RICHMOND AVE, SUITE A-5, RICHMOND, VA 23226-1828
(804) 358-1492
(804) 358-1491
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0101239897
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780893917
—
VA
Enumeration date
06/18/2009
Last updated
10/11/2013
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