Travis Lee, M.D.

Individual provider Active NPI Family Medicine Physician · Chesapeake, VA

NPI 1376732628 · NPPES record last updated May 31, 2016

Key facts

NPI
1376732628
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
0101241301 (VA)
Practice address
2147 Old Greenbrier Rd
Suite B
Chesapeake, VA 23320-2635
Phone
(757) 366-0200
Fax
(949) 225-1619
NPI assigned
Oct 22, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Zelda West Johnson & Associates Past Accepting new patients
Travis Lee Family Medicine, PLLC Family Medicine Past
since Apr 1, 2010
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 0101241301 VA
Family Medicine Physician 207Q00000X 0101241301 VA Yes

Addresses

Primary practice location

2147 Old Greenbrier Rd
Suite B
Chesapeake, VA 23320-2635

Mailing address

2147 Old Greenbrier Rd
Suite B
Chesapeake, VA 23320-2635
Phone (757) 366-0200

Other providers in Chesapeake, VA

All providers in Chesapeake, VA · Family Medicine Physician in Virginia

Sources for this page

Verify at the official NPI Registry.