Individual
ALVIN LEE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1713 SOUTH ST, FRANKLIN, VA 23851-2546
(757) 651-9539
Mailing address
1713 SOUTH ST, FRANKLIN, VA 23851-2546
(757) 651-9539
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
2701032766
VA
Other
Enumeration date
10/17/2012
Last updated
11/29/2012
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