Individual
KARA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1525 HUGUENOT RD STE 201, MIDLOTHIAN, VA 23113-2426
(804) 415-7580
Mailing address
1525 HUGUENOT RD STE 201, MIDLOTHIAN, VA 23113-2426
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649770363
—
VA
Enumeration date
11/19/2018
Last updated
12/12/2018
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