Individual
MARY E LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101249628
VA
207Q00000X
Family Medicine Physician
MD038660
DC
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
0101249628
VA
Other
Enumeration date
06/12/2008
Last updated
05/18/2022
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