Provider Demographics
NPI:1811955040
Name:LEE, MING SHOEI (MD)
Entity type:Individual
Prefix:DR
First Name:MING
Middle Name:SHOEI
Last Name:LEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4107 WATER OVERLOOK BLVD
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-5011
Mailing Address - Country:US
Mailing Address - Phone:804-452-6614
Mailing Address - Fax:
Practice Address - Street 1:306 W BROADWAY
Practice Address - Street 2:
Practice Address - City:HOPEWELL
Practice Address - State:VA
Practice Address - Zip Code:23860-2624
Practice Address - Country:US
Practice Address - Phone:804-458-6336
Practice Address - Fax:804-458-0970
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2016-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101028384208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics