Individual
LARRY E LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
45 READE PL, POUGHKEEPSIE, NY 12601-3947
(845) 471-3289
Mailing address
3998 FAIR RIDGE DR, FAIRFAX, VA 22033-2921
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
249634
NY
390200000X
Student in an Organized Health Care Education/Training Program
0116016790
VA
Other
Enumeration date
05/03/2007
Last updated
04/01/2015
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