Provider Demographics
NPI:1104860097
Name:LEE, VICTORIA M (MD)
Entity Type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:M
Last Name:LEE
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Gender:F
Credentials:MD
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Mailing Address - Street 1:18111 PRINCE PHILIP DR
Mailing Address - Street 2:SUITE 311
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-1508
Mailing Address - Country:US
Mailing Address - Phone:301-774-4100
Mailing Address - Fax:301-774-7648
Practice Address - Street 1:18111 PRINCE PHILIP DR
Practice Address - Street 2:SUITE 311
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-1508
Practice Address - Country:US
Practice Address - Phone:301-774-4100
Practice Address - Fax:301-774-7648
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-15
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MDD0057585208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics