| NPI | 1902097074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD G. LEE President 703-823-2357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: VA 0103001022) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2010-05-28 |