Provider Demographics
NPI:1578529269
Name:LEE, RICK DON (MD)
Entity Type:Individual
Prefix:DR
First Name:RICK
Middle Name:DON
Last Name:LEE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 8310
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24014-0310
Mailing Address - Country:US
Mailing Address - Phone:540-345-3556
Mailing Address - Fax:540-342-2193
Practice Address - Street 1:16830 FOREST RD
Practice Address - Street 2:
Practice Address - City:FOREST
Practice Address - State:VA
Practice Address - Zip Code:24551
Practice Address - Country:US
Practice Address - Phone:434-515-2775
Practice Address - Fax:844-364-8201
Is Sole Proprietor?:No
Enumeration Date:2006-04-22
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101230590207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
050079983OtherRAILROAD MEDICARE
VA005709989Medicaid
434089OtherANTHEM BLUECROSSBLUESHIEL