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MS. NICOLE JENNIFER LEE M.D. NPI 1942280508


NPI Information

NPI: 1942280508
Provider Name: MS. NICOLE JENNIFER LEE, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
410 MAPLE AVENUE WEST
STE. 5
VIENNA, VA
ZIP 22180
Phone: (703) 938-2244
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MS. Nicole Jennifer Lee, M.D. is a pediatrics in Vienna, VA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MS. Nicole Jennifer Lee, M.D. NPI is 1942280508. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

410 MAPLE AVENUE WEST
STE. 5
VIENNA, VA
ZIP 22180
Phone: (703) 938-2244
Fax: (703) 938-3669

The enumeration date for this NPI number is 1/19/2006 and was last updated on 1/18/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics0101238041VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1010159407MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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