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Mr. Gerald K Lee, MD,PHD
Addiction Medicine (Internal Medicine) Physician in Manassas, Virginia
NPI 1184809030

Gerald K Lee is an Addiction Medicine (Internal Medicine) Physician based in Manassas, VA and is specialized in Addiction Medicine. Gerald K Lee practices in Manassas, VA and has the professional credentials of MD,PHD. The NPI Number for Gerald K Lee is 1184809030 and holds a License No. D0054211 (Virginia).

The current practice location address for Gerald K Lee is 8551 Rixlew Lane, Manassas, VA and can be reached out via phone at 703-361-4357 and via fax at 703-361-0346.

Location: 8551 Rixlew Lane, Manassas, VA, 20108-0815
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184809030
Provider Name
Gerald K Lee
Credential
MD,PHD
Provider Entity Type
Individual
Gender
Male
Address
8551 Rixlew Lane, Manassas, VA, 20108-0815
Phone Number
703-361-4357
Fax Number
703-361-0346
Provider Enumeration Date
01/09/2008
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
182042 01 VA ANTHEM
institution
Provider Business Practice Location Address Details
Address
8551 Rixlew Lane
City
Manassas
State
Virginia
Zip
20109-4278
Phone Number
703-361-4357
Fax Number
703-361-0346
person
Provider Business Mailing Address Details
Address
8551 Rixlew Lane
City
Manassas
State
Virginia
Zip
20109-4278
Phone Number
703-361-4357
Fax Number
703-361-0346
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Addiction Medicine
Taxonomy
207RA0401X
License No.
0101057543 (Virginia)
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
D0054211 (Maryland)
Definition
Definition to come...
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