Provider Demographics
NPI:1952372146
Name:MANDEL, LEE RICHARD (MD)
Entity Type:Individual
Prefix:DR
First Name:LEE
Middle Name:RICHARD
Last Name:MANDEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4520 MIARFIELD ARC
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-4278
Mailing Address - Country:US
Mailing Address - Phone:757-638-6501
Mailing Address - Fax:757-638-6502
Practice Address - Street 1:1279 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23511-2406
Practice Address - Country:US
Practice Address - Phone:757-444-9114
Practice Address - Fax:757-444-4720
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-27
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101033513207R00000X, 2083A0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine