Provider Demographics
NPI:1679697890
Name:LEE, AMELIA GAIL (MD)
Entity Type:Individual
Prefix:DR
First Name:AMELIA
Middle Name:GAIL
Last Name:LEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:401 SCOTT DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-1065
Mailing Address - Country:US
Mailing Address - Phone:301-384-3387
Mailing Address - Fax:
Practice Address - Street 1:21785 FILIGREE CT STE 100
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-6214
Practice Address - Country:US
Practice Address - Phone:703-554-1103
Practice Address - Fax:703-554-1101
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD42220207R00000X
VA0101047199207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine