Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 0101239803 | VA |
NPI | 1003830159 |
---|---|
Provider Name | Mrs. Rachel D Lee |
First Address | Chesapeake, VA 23321-5523 |
Second Address | Chesapeake, VA 23321-5523 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 17/08/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0101239803 | VA BOARD OF MEDICINE (01) | VA |