Provider Demographics
NPI:1427375211
Name:LEE, JENNIFER HELEN (DVM)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:HELEN
Last Name:LEE
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3049 BROAD STREET RD
Mailing Address - Street 2:
Mailing Address - City:GUM SPRING
Mailing Address - State:VA
Mailing Address - Zip Code:23065-2220
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3049 BROAD STREET RD
Practice Address - Street 2:
Practice Address - City:GUM SPRING
Practice Address - State:VA
Practice Address - Zip Code:23065-2220
Practice Address - Country:US
Practice Address - Phone:804-869-4122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-03
Last Update Date:2010-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0301006291174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian