Individual
LEE J GOTTHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
12655 WARWICK BLVD STE B, NEWPORT NEWS, VA 23606-2501
(757) 595-3570
(757) 592-9280
Mailing address
860 OMNI BLVD STE 401, NEWPORT NEWS, VA 23606-4430
(757) 232-8860
(757) 232-8875
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024175673
VA
363LF0000X
Family Nurse Practitioner
Primary
0024175673
VA
Other
Enumeration date
12/07/2017
Last updated
05/06/2026
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