Provider Demographics
NPI:1891207023
Name:LEE, LINDSEY A (NP)
Entity Type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:A
Last Name:LEE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:SIEN
Other - Last Name:AHN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3020 HAMAKER CT STE 400
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-2231
Mailing Address - Country:US
Mailing Address - Phone:703-876-2647
Mailing Address - Fax:703-564-0057
Practice Address - Street 1:3020 HAMAKER CT STE 400
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-2231
Practice Address - Country:US
Practice Address - Phone:703-876-2647
Practice Address - Fax:703-564-0057
Is Sole Proprietor?:No
Enumeration Date:2017-10-27
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024175464363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health