Individual
LISA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1252 LORD DUNMORE DR, VIRGINIA BEACH, VA 23464-5448
(720) 768-5203
Mailing address
2406 ATHERHOLT RD, LYNCHBURG, VA 24501-2148
(434) 846-3200
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306606170
VA
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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