| Johnathan Tyree Dietrich Lee, PA-C | |
|
6333 Center Dr, Interstate Corporate Center # 16, Norfolk, VA 23502-4126 | |
| (540) 448-0719 | |
| Not Available |
| Full Name | Johnathan Tyree Dietrich Lee |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 6333 Center Dr, Norfolk, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790165686 | NPI | - | NPPES |
| 0110005004 | Other | VA | VIRGINIA MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 0110005004 (Virginia) | Primary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Johnathan Tyree Dietrich Lee, PA-C 6333 Center Dr, Interstate Corporate Center # 16, Norfolk, VA 23502-4126 Ph: (540) 448-0719 | Johnathan Tyree Dietrich Lee, PA-C 6333 Center Dr, Interstate Corporate Center # 16, Norfolk, VA 23502-4126 Ph: (540) 448-0719 |
Zena C Longvall, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 844 Kempsville Rd Ste 212, Norfolk, VA 23502 Phone: 757-261-5977 Fax: 757-275-9913 | |
Ryan Sadinski, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr Fl 5, Norfolk, VA 23507 Phone: 757-388-3198 | |
Hailey Marie Hughes, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9545 Shore Dr, Norfolk, VA 23518 Phone: 757-785-4861 | |
Mr. Philip John Dauernheim, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 1721 Taussig Blvd., Norfolk, VA 23511 Phone: 757-314-6401 | |
Jibiao Huang, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr Ste 202a, Norfolk, VA 23507 Phone: 757-252-9140 | |
Katherine Ashley Woodward, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 844 Kempsville Rd Ste 204, Norfolk, VA 23502 Phone: 757-261-0700 Fax: 757-261-0701 | |
Lisa A Everitt, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5900 Lake Wright Dr, Norfolk, VA 23502 Phone: 757-466-8683 Fax: 757-466-0250 |