| Matthew C. Lee | |
|
1617 Monument Ave Suite 302 Richmond VA 23220-2943 | |
| (804) 358-1492 | |
| (804) 358-1491 |
| Full Name | Matthew C. Lee |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1617 Monument Ave, Richmond, Virginia |
| Authorized Official Name and Position | Matthew C. Lee (SOLE PROPRIETOR) |
| Authorized Official Contact | 8042414293 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew C. Lee 1617 Monument Ave Suite 302 Richmond VA 23220-2943 Ph: (804) 358-1492 | Matthew C. Lee 1617 Monument Ave Suite 302 Richmond VA 23220-2943 Ph: (804) 358-1492 |
| NPI Number | 1255515474 |
|---|---|
| Provider Enumeration Date | 12/24/2007 |
| Last Update Date | 08/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255515474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0101239897 (Virginia) | Primary |
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