Individual
DR. MATTHEW C LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., R.PH.
Contact information
Practice address
1617 MONUMENT AVE STE 302, RICHMOND, VA 23220-2943
(804) 358-1492
(804) 358-1941
Mailing address
721 S PINE ST, RICHMOND, VA 23220-6518
(804) 648-3388
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202011774
VA
207Q00000X
Family Medicine Physician
0101239897
VA
207R00000X
Internal Medicine Physician
Primary
0101239897
VA
2083X0100X
Occupational Medicine Physician
0101239897
VA
208D00000X
General Practice Physician
0101239897
VA
208U00000X
Clinical Pharmacology Physician
0101239897
VA
Other
Enumeration date
05/22/2007
Last updated
11/29/2009
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