Provider Demographics
NPI:1114946779
Name:LEE, LAWRENCE BORDEN JR (MD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:BORDEN
Last Name:LEE
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1965 JEFFERSON DAVIS HWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-6213
Mailing Address - Country:US
Mailing Address - Phone:540-370-4468
Mailing Address - Fax:540-370-4048
Practice Address - Street 1:1965 JEFFERSON DAVIS HWY
Practice Address - Street 2:SUITE 100
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-6213
Practice Address - Country:US
Practice Address - Phone:540-370-4468
Practice Address - Fax:540-370-4048
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
VA01012328872084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry