Individual
LEQUITA KAY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 ARCHER AVE APT 2B, COLONIAL HEIGHTS, VA 23834-3709
(804) 835-1650
Mailing address
209 ARCHER AVE APT 2B, COLONIAL HEIGHTS, VA 23834-3709
(804) 835-1650
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
393
N/A
VA
05
—
393
—
VA
Enumeration date
10/02/2019
Last updated
10/02/2019
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