Individual
DR. JENNIFER MARY LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
10301 DEMOCRACY LN STE 110, FAIRFAX, VA 22030-2545
(703) 293-2939
(703) 293-2954
Mailing address
10301 DEMOCRACY LN, SUITE 110, FAIRFAX, VA 22030-2545
(703) 293-2939
(703) 293-2954
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
0104555856
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1897636
FIRST HEALTH
VA
Enumeration date
05/16/2007
Last updated
05/10/2018
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