Individual
DIXON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13540 HULL STREET RD, MIDLOTHIAN, VA 23112-2107
(804) 739-6142
Mailing address
PO BOX 639995, CINCINNATI, OH 45263-9995
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101281715
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2021
Last updated
07/24/2024
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