person
Leesa M Madsen, PA
Diagnostic Ultrasound Physician in Fairfax, Virginia
NPI 1386669307

Leesa M Madsen is a Diagnostic Ultrasound Physician based in Merrifield, VA and is specialized in Diagnostic Ultrasound. Leesa M Madsen practices in Fairfax, VA and has the professional credentials of PA. The NPI Number for Leesa M Madsen is 1386669307 and holds a License No. 0110840790 (Virginia).

The current practice location address for Leesa M Madsen is 2722 Merrilee Dr, Fairfax, VA and can be reached out via phone at 703-698-4483 and via fax at 703-573-0880. You can also correspond with Leesa M Madsen through the mailing address at PO BOX 3650, MERRIFIELD, VA - 22116-3650 (mailing address contact number: 703-698-4483).

Location: 2722 Merrilee Dr, Fairfax, VA, 22116-3650
person
Provider Profile Details
NPI Number
1386669307
Provider Name
Leesa M Madsen
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
2722 Merrilee Dr, Fairfax, VA, 22116-3650
Phone Number
703-698-4483
Fax Number
703-573-0880
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0101317452 05 VA
259998 01 VA KAISER PERMANENTE
010317274 05 VA
0101305055 05 VA
0101310791 05 VA
0101316774 05 VA
0101317347 05 VA
010316855 05 VA
010317452 05 VA
010304989 05 VA
010316910 05 VA
010317401 05 VA
010316847 05 VA
010316936 05 VA
010317240 05 VA
010317312 05 VA
010317428 05 VA
0101317371 05 VA
010316839 05 VA
010316804 05 VA
institution
Provider Business Practice Location Address Details
Address
2722 Merrilee Dr
City
State
Zip
22031-4400
Phone Number
703-698-4483
Fax Number
703-573-0880
person
Provider Business Mailing Address Details
Address
2722 Merrilee Dr
City
State
Zip
22031-4400
Phone Number
703-698-4483
Fax Number
703-573-0880
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
License No.
0110840790 (Virginia)
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
0110840790 (Virginia)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Ultrasound
Taxonomy
License No.
0110840790 (Virginia)
Definition
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
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