Johnathan Tyree Dietrich Lee is a Medical Physician Assistant based in Norfolk, VA and is specialized in Medical. Johnathan Tyree Dietrich Lee practices in Norfolk, VA and has the professional credentials of PA-C. The NPI Number for Johnathan Tyree Dietrich Lee is 1790165686 and holds a License No. 0110005004 (Virginia).
The current practice location address for Johnathan Tyree Dietrich Lee is 6333 Center Dr, Norfolk, VA and can be reached out via phone at 540-448-0719.
Identifier | Type | State | Issuer |
---|---|---|---|
0110005004 | 01 | VA | VIRGINIA MEDICAL LICENSE |
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